JONATHAN REVELS

GREENVILLE, SC
NPI1932559911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-22868)
Enumeration Date2016-06-21
Last Update Date2025-07-21
Business Address
JONATHAN REVELS LCAS, CCS, NCC
157 BROZZINI CT
GREENVILLE, SC 29615-5340
Phone number: 800-809-6989
Mailing Address
JONATHAN REVELS LCAS, CCS, NCC
200 E BROAD ST STE 300
GREENVILLE, SC 29601-2891
Phone number: 800-809-6989