Walter David Revoal, M.A, L.P.C

NPI #1932205143 in Longmont, Colorado

Provider Information

NPI Number: 1932205143
Entity Type: Individual
Name: Walter David Revoal, M.A, L.P.C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: M.A, L.P.C
Enumeration Date: Sep 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 834 S SHERMAN ST
City: Longmont
State: Colorado
ZIP Code: 80501-6323
Phone: (303) 776-7840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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