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Walter David Revoal, MA,LPC
Counselor in Longmont, Colorado
NPI 1932205143

Walter David Revoal is a Counselor based in Denver, CO. Walter David Revoal practices in Longmont, CO and has the professional credentials of MA,LPC. The NPI Number for Walter David Revoal is 1932205143 and holds a License No. 2103 (Colorado).

The current practice location address for Walter David Revoal is 834 S Sherman St, Longmont, CO and can be reached out via phone at 303-776-7840 and via fax at 303-776-7161. You can also correspond with Walter David Revoal through the mailing address at 3757 STUART ST, DENVER, CO - 80212-1921 (mailing address contact number: 303-455-3288).

Location: 834 S Sherman St, Longmont, CO, 80212-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932205143
Provider Name
Walter David Revoal
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
834 S Sherman St, Longmont, CO, 80212-1921
Phone Number
303-776-7840
Fax Number
303-776-7161
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
834 S Sherman St
City
Longmont
State
Colorado
Zip
80501-6323
Phone Number
303-776-7840
Fax Number
303-776-7161
person
Provider Business Mailing Address Details
Address
3757 Stuart St
City
Denver
State
Colorado
Zip
80212-1921
Phone Number
303-455-3288
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2103 (Colorado)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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