Individual
ANGELA CLESHETTE REVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC-A
Contact information
Practice address
3950 VICTORY LN BLDG 3, WINTERVILLE, NC 28590-9222
(252) 355-2801
(252) 355-4708
Mailing address
3950 VICTORY LN BLDG 3, WINTERVILLE, NC 28590-9222
(252) 355-2801
(252) 355-4708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A22560
NC
Other
Enumeration date
06/16/2026
Last updated
06/17/2026
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