Individual provider · Type 1 NPI

Timothy W. Revello, BA

Mental Health Counselor · Danville, IL

NPI number 1992043590 Active

Practice location

210 Avenue C
Danville, IL 61832-5410

Fax (217) 442-7460

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992043590

Timothy W. Revello, BA's National Provider Identifier is 1992043590, issued on Jan 17, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Danville, IL. The record was last updated on Jan 17, 2013.