Gustavo Nicolas Diaz Revelo, - Counselor in Reisterstown, MD

Gustavo Nicolas Diaz Revelo, is a Counselor - Addiction (substance Use Disorder) based in Reisterstown, Maryland. Gustavo Nicolas Diaz Revelo is licensed to practice in Maryland (license number ) and his current practice location is 100 Owings Ct, Suite 8, Reisterstown, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 526-7100.

NPI number for Gustavo Nicolas Diaz Revelo is 1568887537 and his current mailing address is 301 Dumbarton Rd, Baltimore, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568887537.

Contact Information

Gustavo Nicolas Diaz Revelo,
100 Owings Ct, Suite 8,
Reisterstown, MD 21136-6428
(410) 526-7100
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameGustavo Nicolas Diaz Revelo
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location100 Owings Ct, Reisterstown, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568887537
  • Provider Enumeration Date: 02/26/2014
  • Last Update Date: 02/26/2014

Medical Identifiers

Medical identifiers for Gustavo Nicolas Diaz Revelo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568887537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gustavo Nicolas Diaz Revelo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gustavo Nicolas Diaz Revelo,
301 Dumbarton Rd,
Baltimore, MD 21212-1533

Ph: (443) 791-8384
Gustavo Nicolas Diaz Revelo,
100 Owings Ct, Suite 8,
Reisterstown, MD 21136-6428

Ph: (410) 526-7100

Reviews and Comments


Counselor in Reisterstown, MD

Ilana Meiller, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 37 Main St, Reisterstown, MD 21136
Phone: 410-526-7882    
Leah Johnson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 100 Owings Ct Ste 5, Reisterstown, MD 21136
Phone: 443-610-4425    
Doreen Scott, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 100 Owings Ct, Suite 8, Reisterstown, MD 21136
Phone: 410-526-7100    
Tracy Brenton, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 14450 Hanover Pike, Reisterstown, MD 21136
Phone: 410-569-9497    Fax: 410-569-0094
Joshua Mandell, LGPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 37 Main St, Reisterstown, MD 21136
Phone: 410-812-5623    
Mrs. Marsha Ann Swilley, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 520 Education Way, Reisterstown, MD 21136
Phone: 410-526-4888    
Erica K. Matthews Malaka, PSYD
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 12039 Reisterstown Rd, Reisterstown, MD 21136
Phone: 410-526-5000    

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