Revak, Monica

Revak, Monica is an individual health care provider with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601-6418. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Revak, Monica can be contacted via phone (541) 883-1030.

Contact Information

Primary practice address
2210 N Eldorado Ave Klamath Falls OR 97601-6418
Phone: (541) 883-1030
Fax: (541) 884-2338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X II-R-28 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C3856 Oregon

Profile Details

NPI number 1235362153
LBN Legal business name Revak, Monica
Credentials LPC., CADCII
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2009
Last updated Jan 26th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235362153 NPPES
Oregon MEDICAID 1235362153

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