Individual provider · Type 1 NPI

Sharayah K. Provost, LPC

Professional Counselor · Brookfield, WI

NPI number 1477025823 Active

Practice location

16535 W Bluemound Rd Ste 305
Brookfield, WI 53005-5936

Call (800) 438-1770 Map

Fax (262) 345-5562

Mailing address

W175N11120 Stonewood Dr
Germantown, WI 53022-6511

Other practice locations

  • 2669 N Richards St, Milwaukee, WI 53212-2850 · (800) 438-1772

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X3367-226 (WI)
Professional Counselor Primary 101YP2500X7206-125 (WI)

Professional Counselor: Definition to come...

7 other providers at this address

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About NPI 1477025823

Sharayah K. Provost, LPC's National Provider Identifier is 1477025823, issued on Dec 26, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brookfield, WI. The record was last updated on Feb 10, 2020.