Tiffany Revilla, SUD COUNSELOR

NPI 1124613674 · on the registry since 2021

Practice

Address: 3555 Sonoma Hwy
Santa Rosa, CA 95409
Phone: (707) 526-3150
Fax: (707) 581-2155
Organisation at this address: California Human Development Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California