Individual
JAMES REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 H PATTON AVENUE, ASHEVILLE, NC 28806
(828) 252-4980
Mailing address
839 WILKESBORO BLVD, LENOIR, NC 28645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102489
—
NC
Enumeration date
12/15/2006
Last updated
07/08/2007
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