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Sharayah K Provost, LPC
Professional Counselor in Brookfield, Wisconsin
NPI 1477025823

Sharayah K Provost is a Professional Counselor based in Germantown, WI and is specialized in Professional. Sharayah K Provost practices in Brookfield, WI and has the professional credentials of LPC. The NPI Number for Sharayah K Provost is 1477025823 and holds a License No. 3367-226 (Wisconsin).

The current practice location address for Sharayah K Provost is 16535 W Bluemound Rd Ste 305, Brookfield, WI and can be reached out via phone at 800-438-1770 and via fax at 262-345-5562.

Location: 16535 W Bluemound Rd Ste 305, Brookfield, WI, 53022-6511
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Provider Profile Details
NPI Number
1477025823
Provider Name
Sharayah K Provost
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
16535 W Bluemound Rd Ste 305, Brookfield, WI, 53022-6511
Phone Number
800-438-1770
Fax Number
262-345-5562
Provider Enumeration Date
12/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100084565 05 WI
institution
Provider Business Practice Location Address Details
Address
16535 W Bluemound Rd Ste 305
City
State
Zip
53005-5936
Phone Number
800-438-1770
Fax Number
262-345-5562
person
Provider Business Mailing Address Details
Address
16535 W Bluemound Rd Ste 305
City
State
Zip
53005-5936
Phone Number
800-438-1770
Fax Number
262-345-5562
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3367-226 (Wisconsin)
Definition
Definition to come...
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