Individual
MISS MARICON REVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4722 TAFT BLVD STE 2, WICHITA FALLS, TX 76308-4800
(940) 691-1899
(940) 691-3423
Mailing address
95-1001 KOOLANI DR APT F601, MILILANI, HI 96789-6021
(808) 286-9115
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
81717
TX
104100000X
Social Worker
—
—
Other
Enumeration date
11/15/2012
Last updated
06/17/2022
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