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SHARAYAH PROVOST, LPC
LPC
Professional Counselor
NPI: 1477025823IndividualAccepts Medicare
Specialties, Licenses & Credentials
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
3367-226(WI)7206-125(WI)
Education
OTHER
Class of 2014
Contact & Hours
Via practice · 2 locations total
- Address
- 16535 W BLUEMOUND RD STE 305
BROOKFIELD, WI 53005 - Phone
- (800) 438-1770
Quick Facts
- NPI
- 1477025823
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 12
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