Individual
JONATHAN REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS, CCS, NCC
Contact information
Practice address
157 BROZZINI CT, GREENVILLE, SC 29615-5340
(800) 809-6989
Mailing address
200 E BROAD ST STE 300, GREENVILLE, SC 29601-2891
(800) 809-6989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22868
NC
Other
Enumeration date
06/21/2016
Last updated
07/21/2025
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