| Doctor Name: | MRS. RACHEL VALERA REVES |
| NPI Number: | 1639386253 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MFT, LPC |
| License Number: | 1370 |
| Business Practice Address: | 3500 Chicot St Ist Floor Pascagoula, MS - 395814316 |
| Business Phone Number: | 2289386869 |
| Business Fax Number: | |
| Mailing Address: | 6804 Humphrey Rd, VANCLEAVE |
| State: | MS |
| Postal Code: | 395659257 |
| Phone Number: | 2288269034 |
| Fax Number: | 2288269034 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 1370 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |