person
Michael Provenzano
Professional Counselor in Lansing, Michigan
NPI 1225546831

Michael Provenzano is a Professional Counselor based in Lansing, MI and is specialized in Professional. Michael Provenzano practices in Lansing, MI. The NPI Number for Michael Provenzano is 1225546831 and holds a License No. 6401012536 (Michigan).

The current practice location address for Michael Provenzano is 913 W Holmes Rd Ste 200, Lansing, MI and can be reached out via phone at 517-887-0226 and via fax at 517-887-8121.

Location: 913 W Holmes Rd Ste 200, Lansing, MI, 48910-0426
person
Provider Profile Details
NPI Number
1225546831
Provider Name
Michael Provenzano
Credential
Provider Entity Type
Individual
Gender
Male
Address
913 W Holmes Rd Ste 200, Lansing, MI, 48910-0426
Phone Number
517-887-0226
Fax Number
517-887-8121
Provider Enumeration Date
01/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
913 W Holmes Rd Ste 200
City
State
Zip
48910-0426
Phone Number
517-887-0226
Fax Number
517-887-8121
person
Provider Business Mailing Address Details
Address
913 W Holmes Rd Ste 200
City
State
Zip
48910-0426
Phone Number
517-887-0226
Fax Number
517-887-8121
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401012536 (Michigan)
Definition
Definition to come...
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