Individual provider · Type 1 NPI

Jessica Ann Revels, M.ED., M.A., LPCA

Professional Counselor · Durham, NC

NPI number 1043780778 Active

Practice location

1415 West North Carolina 54, Building 100 Suite # 204
Durham, NC 27707

Call (919) 308-6039 Map

Mailing address

100 Stratford Lakes Dr Unit 253
Durham, NC 27713-3486

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA14340 (NC)

Professional Counselor: Definition to come...

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About NPI 1043780778

Jessica Ann Revels, M.ED., M.A., LPCA's National Provider Identifier is 1043780778, issued on Nov 26, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Durham, NC. The record was last updated on Nov 26, 2018.