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TIANDRA PROVO, MHS

MHS

Mental Health Counselor

NPI: 1497230957Individual

Specialties, Licenses & Credentials

Behavior Technician

Code: 106S00000X

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Address
216 LOBDELL AVE
BATON ROUGE, LA 70806

Quick Facts

NPI
1497230957
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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