person
Sara Provo, LPCC
Mental Health Counselor in Victoria, Minnesota
NPI 1912582354

Sara Provo is a Mental Health Counselor based in Victoria, MN and is specialized in Mental Health. Sara Provo practices in Victoria, MN and has the professional credentials of LPCC. The NPI Number for Sara Provo is 1912582354 and holds a License No. 2765 (Minnesota).

The current practice location address for Sara Provo is 1772 Stieger Lake Ln Ste 220, Victoria, MN and can be reached out via phone at 952-443-4600 and via fax at 952-443-4604.

Location: 1772 Stieger Lake Ln Ste 220, Victoria, MN, 55386-0051
person
Provider Profile Details
NPI Number
1912582354
Provider Name
Sara Provo
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
1772 Stieger Lake Ln Ste 220, Victoria, MN, 55386-0051
Phone Number
952-443-4600
Fax Number
952-443-4604
Provider Enumeration Date
03/17/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPCC2765 01 MN MN BOARD OF BH
institution
Provider Business Practice Location Address Details
Address
1772 Stieger Lake Ln Ste 220
City
State
Zip
55386-7723
Phone Number
952-443-4600
Fax Number
952-443-4604
person
Provider Business Mailing Address Details
Address
1772 Stieger Lake Ln Ste 220
City
State
Zip
55386-7723
Phone Number
952-443-4600
Fax Number
952-443-4604
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2765 (Minnesota)
Definition
Definition to come...
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