MICHELLE NICOLE PROVOST, M.S., LMHC
Social Work at 109 Ct, Vancouver, WA

License number
Washington LH60161771
Category
Mental Health
Type
Mental Health
License number
Washington 060222650
Category
Social Work
Type
School
Address
Address
5501 NE 109Th Ct SUITE A-1, Vancouver, WA 98662
Phone
(360) 558-5711
(360) 695-0628 (Fax)
National Provider ID: 1972815215
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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