Individual provider · Type 1 NPI

Rachael Lark Revelle

Mental Health Counselor · Durham, NC

NPI number 1710248760 Active

Practice location

2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829

Fax (919) 251-9008

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP007253 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1710248760

Rachael Lark Revelle's National Provider Identifier is 1710248760, issued on Jun 6, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durham, NC. The record was last updated on Sep 8, 2015.