person
Michelle Nicole Provost, MS,LMHC
School Counselor in Vancouver, Washington
NPI 1972815215

Michelle Nicole Provost is a School Counselor based in Vancouver, WA and is specialized in School. Michelle Nicole Provost practices in Vancouver, WA and has the professional credentials of MS,LMHC. The NPI Number for Michelle Nicole Provost is 1972815215 and holds a License No. LH60161771 (Washington).

The current practice location address for Michelle Nicole Provost is 5501 Ne 109Th Ct, Vancouver, WA and can be reached out via phone at 360-558-5711 and via fax at 360-695-0628. You can also correspond with Michelle Nicole Provost through the mailing address at 5501 NE 109TH CT, VANCOUVER, WA - 98662-6177 (mailing address contact number: 360-558-5711).

Location: 5501 Ne 109Th Ct, Vancouver, WA, 98662-6177
person
Provider Profile Details
NPI Number
1972815215
Provider Name
Michelle Nicole Provost
Credential
MS,LMHC
Provider Entity Type
Individual
Gender
Female
Address
5501 Ne 109Th Ct, Vancouver, WA, 98662-6177
Phone Number
360-558-5711
Fax Number
360-695-0628
Provider Enumeration Date
07/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5501 Ne 109Th Ct
City
State
Zip
98662-6177
Phone Number
360-558-5711
Fax Number
360-695-0628
person
Provider Business Mailing Address Details
Address
5501 Ne 109Th Ct
City
State
Zip
98662-6177
Phone Number
360-558-5711
Fax Number
360-695-0628
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
060222650 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
LH60161771 (Washington)
Definition
Definition to come...
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