Organization · Type 2 NPI

Revival Therapy, P.c.

Professional Counselor · Crystal Lake, IL

NPI number 1376150896 Active

Practice location

330 W. Terra Cotta Ave., Suite A
Crystal Lake, IL 60014

Call (815) 382-9691 Map

Fax (815) 800-0670

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500XNone listed
Marriage & Family Therapist 106H00000XNone listed

Professional Counselor: Definition to come...

Other professional counselor providers in Crystal Lake

See all in Crystal Lake →

About NPI 1376150896

Revival Therapy, P.c.'s National Provider Identifier is 1376150896, issued on Sep 29, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Crystal Lake, IL. The record was last updated on Aug 9, 2024.