| Mr Nicholas Revilla, | |
|
10151 Se Sunnyside Rd Ste 480, Happy Valley, OR 97015-5705 | |
| (503) 739-8321 | |
| Not Available |
| Full Name | Mr Nicholas Revilla |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 10151 Se Sunnyside Rd Ste 480, Happy Valley, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659001782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C10628 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas Revilla, 2854 Tortuga Verde, San Antonio, TX 78245-3705 Ph: (210) 862-8071 | Mr Nicholas Revilla, 10151 Se Sunnyside Rd Ste 480, Happy Valley, OR 97015-5705 Ph: (503) 739-8321 |
Wanda A Scott, QMHP, CADCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086 Phone: 503-722-6200 Fax: 503-722-6545 | |
Jonathan Fox, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086 Phone: 503-722-6200 Fax: 503-722-6545 | |
Valentina Muggia, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086 Phone: 503-722-6200 Fax: 503-722-6545 | |
Mckayla Dulski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14830 Se Misty Dr Apt 408, Happy Valley, OR 97086 Phone: 920-257-7959 | |
Sage Luna Nebula, CADC-II, QMHA, CRM Counselor Medicare: Not Enrolled in Medicare Practice Location: 10822 Se 82nd Ave Ste K, Happy Valley, OR 97086 Phone: 503-654-7444 Fax: 503-654-0392 | |
Kristen Carstensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8305 Se Monterey Ave Ste 111, Happy Valley, OR 97086 Phone: 971-278-4594 Fax: 503-303-4412 | |
Shannon Farr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086 Phone: 503-722-6200 Fax: 503-722-6545 |