Individual provider · Type 1 NPI
Michelle L. Provost, LPC, CHT
Professional Counselor · Orangeburg, SC
NPI number
1457068413
Active
Practice location
6315 Kips Ln
Orangeburg, SC 29115-9788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6216 (SC) |
Professional Counselor: Definition to come...
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About NPI 1457068413
Michelle L. Provost, LPC, CHT's National Provider Identifier is 1457068413, issued on Oct 31, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Orangeburg, SC. The record was last updated on Oct 31, 2022.