Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1981
Offers telehealth
NPI: 1114483898
Practice Locations (1)
REVERE COUNSELING AND CARE MANAGEMENT LLC
235 E PONCE DE LEON AVE, SUITE 330
DECATUR, GA 300303452
4043019450
Source: CMS National Downloadable File, September 2026.