MICHAEL PROVENCHER, LGPC

LGPC

Mental Health Counselor

NPI: 1811793813Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

LGP15969(MD)

Contact & Hours

Address: 117 CENTRAL AVE
GLYNDON, MD 21071
Phone: (443) 244-1886

Quick Facts

NPI: 1811793813
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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