Provider Demographics
NPI:1174602320
Name:REVE, CECILE (LMHC-EAT)
Entity type:Individual
Prefix:MS
First Name:CECILE
Middle Name:
Last Name:REVE
Suffix:
Gender:F
Credentials:LMHC-EAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-1513
Mailing Address - Country:US
Mailing Address - Phone:617-876-5185
Mailing Address - Fax:
Practice Address - Street 1:65 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-1513
Practice Address - Country:US
Practice Address - Phone:617-876-5185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health