Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GUSTAVO NICOLAS DIAZ REVELO
Active Sole ProprietorGUSTAVO NICOLAS DIAZ REVELO is a Addiction (Substance Use Disorder) Counselor healthcare provider located in REISTERSTOWN, Maryland. NPI 1568887537 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · REISTERSTOWN, MD
Registration Details
- NPI Number
- 1568887537
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2014 (12.441072783848 yrs)
- Last Updated
- Feb 26, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 OWINGS CTSUITE 8REISTERSTOWN, MD, 211366428Browse MD providers · Browse ZIP 21136
- Phone
- 4105267100
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in REISTERSTOWN, MD
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES W SCOTT JR. | CAC AD | 1154414704 |
| MR. DEVON ANTHONY BLACKWOOD | LCADC | 1336225077 |
| WAYNE CLEMONS | — | 1760806749 |
| ERICA PERKINS | — | 1649958596 |
| ASHLEY TURNER | — | 1952148785 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.