person
Ms. Michelle L Provost, LPC,CHT
Professional Counselor in Orangeburg, South Carolina
NPI 1457068413

Michelle L Provost is a Professional Counselor based in Orangeburg, SC and is specialized in Professional. Michelle L Provost practices in Orangeburg, SC and has the professional credentials of LPC,CHT. The NPI Number for Michelle L Provost is 1457068413 and holds a License No. 6216 (South Carolina).

The current practice location address for Michelle L Provost is 6315 Kips Ln, Orangeburg, SC and can be reached out via phone at 803-347-8600.

Location: 6315 Kips Ln, Orangeburg, SC, 29115-9788
person
Provider Profile Details
NPI Number
1457068413
Provider Name
Michelle L Provost
Credential
LPC,CHT
Provider Entity Type
Individual
Gender
Female
Address
6315 Kips Ln, Orangeburg, SC, 29115-9788
Phone Number
803-347-8600
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6216 01 SC LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
6315 Kips Ln
City
State
Zip
29115-9788
Phone Number
803-347-8600
Fax Number
person
Provider Business Mailing Address Details
Address
6315 Kips Ln
City
State
Zip
29115-9788
Phone Number
803-347-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6216 (South Carolina)
Definition
Definition to come...
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