Gustavo Nicolas Diaz Revelo
NPI #1568887537 in Reisterstown, Maryland
Provider Information
- NPI Number
- 1568887537
- Entity Type
- Individual
- Name
- Gustavo Nicolas Diaz Revelo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 26, 2014
- Last Updated
- Feb 26, 2014
Practice Location
- Address
- 100 OWINGS CT
- Address 2
- SUITE 8
- City
- Reisterstown
- State
- Maryland
- ZIP Code
- 21136-6428
- Phone
- (410) 526-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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