LISA PROVOST, MS

MS

Mental Health Counselor

NPI: 1134290208Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

39000109A(IN)

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Contact & Hours

Address: 6221 PHYSICIANS CT
EVANSVILLE, IN 47715
Phone: (812) 491-7739

Quick Facts

NPI: 1134290208
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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