Walter Revoal, M.A, L.P.C
NPI 1932205143 · on the registry since 2006
Practice
- Address
- 834 S Sherman St
Longmont, CO 80501 - Phone
- (303) 776-7840
- Fax
- (303) 776-7161
- Organisation at this address
- Clinica Campesina Family Health Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado