Revoal, Walter David

Revoal, Walter David is an individual health care provider with primary practice located at 834 S Sherman St , Longmont CO 80501-6323. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Revoal, Walter David can be contacted via phone (303) 776-7840.

Contact Information

Primary practice address
834 S Sherman St Longmont CO 80501-6323
Phone: (303) 776-7840
Fax: (303) 776-7161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2103 Colorado

Profile Details

NPI number 1932205143
LBN Legal business name Revoal, Walter David
Credentials M.A, L.P.C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 19 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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