person
Kelly Provident, LPC
Professional Counselor in Wexford, Pennsylvania
NPI 1841056801

Kelly Provident is a Professional Counselor based in Wexford, PA and is specialized in Professional. Kelly Provident practices in Wexford, PA and has the professional credentials of LPC. The NPI Number for Kelly Provident is 1841056801 and holds a License No. PC005935 (Pennsylvania).

The current practice location address for Kelly Provident is 52 Pine Creek Rd Ste 200, Wexford, PA and can be reached out via phone at 724-719-7603.

Location: 52 Pine Creek Rd Ste 200, Wexford, PA, 15090-9366
person
Provider Profile Details
NPI Number
1841056801
Provider Name
Kelly Provident
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
52 Pine Creek Rd Ste 200, Wexford, PA, 15090-9366
Phone Number
724-719-7603
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
52 Pine Creek Rd Ste 200
City
State
Zip
15090-9366
Phone Number
724-719-7603
Fax Number
person
Provider Business Mailing Address Details
Address
52 Pine Creek Rd Ste 200
City
State
Zip
15090-9366
Phone Number
724-719-7603
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC005935 (Pennsylvania)
Definition
Definition to come...
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