Individual
MRS. ADA ISABEL REVELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 BEACH BLVD, SUITE #245, BUENA PARK, CA 90621-2840
(714) 736-0231
(714) 736-0895
Mailing address
6301 BEACH BLVD, SUITE #245, BUENA PARK, CA 90621-2840
(714) 736-0231
(714) 736-0895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
06/16/2011
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