RE'VIN SLACK

VICTORVILLE, CA
NPI1730701905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT135690)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  AMFT118029)
Enumeration Date2020-05-11
Last Update Date2023-02-24
Business Address
RE'VIN SLACK MS, LMFT, APCC
15345 BONANZA RD
VICTORVILLE, CA 92392-2499
Phone number: 760-552-6600
Mailing Address
RE'VIN SLACK MS, LMFT, APCC
14374 BOREGO RD APT 210
VICTORVILLE, CA 92392-6907
Phone number: 909-522-9690