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Aimee Provost
Mental Health Counselor in Riverside, California
NPI 1740041524

Aimee Provost is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Aimee Provost practices in Riverside, CA. The NPI Number for Aimee Provost is 1740041524 and holds a License No. (California).

The current practice location address for Aimee Provost is 4996 La Sierra Ave # 2612, Riverside, CA and can be reached out via phone at 951-525-3752.

Location: 4996 La Sierra Ave # 2612, Riverside, CA, 92505-2612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740041524
Provider Name
Aimee Provost
Credential
Provider Entity Type
Individual
Gender
Female
Address
4996 La Sierra Ave # 2612, Riverside, CA, 92505-2612
Phone Number
951-525-3752
Fax Number
Provider Enumeration Date
01/19/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4996 La Sierra Ave # 2612
City
Riverside
State
California
Zip
92505-2612
Phone Number
951-525-3752
Fax Number
person
Provider Business Mailing Address Details
Address
4996 La Sierra Ave # 2612
City
Riverside
State
California
Zip
92505-2612
Phone Number
951-525-3752
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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