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LISA PROVOST, MA

MA

Counselor

NPI: 1225108525IndividualAccepts Medicare

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2005

Contact & Hours

Address
100 LEDGEWOOD PL, SUITE 202
ROCKLAND, MA 02370

Quick Facts

NPI
1225108525
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
21

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