Individual
CRYSTAL REVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W TRYON ST, HILLSBOROUGH, NC 27278-2438
(919) 732-1150
(919) 732-1179
Mailing address
6015 FAYETTEVILLE RD, SUITE 211, DURHAM, NC 27713-6254
(919) 572-0001
(919) 572-0004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5443
NC
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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