Walter David Revoal in Longmont - Counselor
Walter David Revoal - NPI 1932205143
Walter David Revoal is a Counselor in Longmont, Colorado. Walter David Revoal practices all healthcare services and medical treatments related to Counselor. The NPI Number for Walter David Revoal is 1932205143. The last update date is 2007-07-08.
Walter David Revoal's current location address is 834 S Sherman St, Longmont, Colorado. You can contact this provider via phone number 3037767840 and fax number 3037767161. The mailing address for Walter David Revoal is 834 S Sherman St, Longmont, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter David Revoal |
|---|---|
| Address | 834 S Sherman St, Longmont, Colorado |
| Phone Number | 3037767840 |
| Fax Number | 3037767161 |
| Sole Proprietor | N |
| Credentials | M.A, L.P.C |
NPI Number Detail
| NPI Number | 1932205143 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 834 S Sherman St |
|---|---|
| City | Longmont |
| State | Colorado (CO) |
| Post Code | 805016323 |
| Phone Number | 3037767840 |
| Fax Number | 3037767161 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 2103 |
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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 supe |
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What is the unique identifier code issued to Walter David Revoal by the Centers for Medicare & Medicaid Services?
The Walter David Revoal has been assigned the NPI (National Provider Identifier) 1932205143. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Walter David Revoal?
The Walter David Revoal is physically situated at 834 S Sherman St, in the city of Longmont, state of CO, with the postal code 805016323.
What is Walter David Revoal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Walter David Revoal is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date did Walter David Revoal receive its 1932205143 assignment from the Centers for Medicare & Medicaid Services?
The Walter David Revoal was assigned its 1932205143 on 2006-09-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Walter David Revoal most recently updated or revised?
The information pertaining to Walter David Revoal, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.