Reveles, Adrian
Reveles, Adrian is an individual health care provider with primary practice located at 505 S Pacific Ave Ste 101 , San Pedro CA 90731-2656. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Reveles, Adrian can be contacted via phone (310) 774-0875.Contact Information
Primary practice address
505 S Pacific Ave Ste 101
San Pedro CA 90731-2656
Phone: (310) 774-0875
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 112718 | California |
Profile Details
| NPI number | 1891253613 |
|---|---|
| LBN Legal business name | Reveles, Adrian |
| Credentials | LCSW #112718 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2019 |
| Last updated | Jul 4th, 2024 - about 2 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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