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:
Health care specialties
| Specialty | Code | License # | 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 18 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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