JOHN PROVOST, LCSW LICENSED CERTIF

LCSW LICENSED CERTIF

Clinical Social Worker

NPI: 1023129947Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

R0136841(NY)

Contact & Hours

Address: 750 VETERANS HIGHWAY, SUITE 205
HAUPPAUGE, NY 11788
Phone: (631) 724-5522

Quick Facts

NPI: 1023129947
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile