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Shellie Lee Revilla
Marriage & Family Therapist in Campbell, California
NPI 1699409482

Shellie Lee Revilla is a Marriage & Family Therapist based in Campbell, CA. Shellie Lee Revilla practices in Campbell, CA. The NPI Number for Shellie Lee Revilla is 1699409482 and holds a License No. MFT35689 (California).

The current practice location address for Shellie Lee Revilla is 4916 Poplar Ter, Campbell, CA and can be reached out via phone at 408-202-3992.

Location: 4916 Poplar Ter, Campbell, CA, 95008-5717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699409482
Provider Name
Shellie Lee Revilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
4916 Poplar Ter, Campbell, CA, 95008-5717
Phone Number
408-202-3992
Fax Number
Provider Enumeration Date
07/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4916 Poplar Ter
City
Campbell
State
California
Zip
95008-5717
Phone Number
408-202-3992
Fax Number
person
Provider Business Mailing Address Details
Address
4916 Poplar Ter
City
Campbell
State
California
Zip
95008-5717
Phone Number
408-202-3992
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
MFT35689 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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