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LARRY PROVENCE, M.A., L.P.C.
M.A., L.P.C.
Professional Counselor
NPI: 1801078027Individual
Specialties, Licenses & Credentials
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
LPC11598(AZ)
Contact & Hours
- Address
- 4715 N STAGE WAY LN
PRESCOTT VALLEY, AZ 86314 - Phone
- (928) 775-0019
Quick Facts
- NPI
- 1801078027
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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