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Individual
RE'VIN SLACK
Active
Individual
RE'VIN SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT, APCC
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
AMFT118029
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT135690
CA
106H00000X
Marriage & Family Therapist
LMFT8060
SC
Other
Enumeration date
05/11/2020
Last updated
07/09/2026
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