MELISSA PROVOST

ESCONDIDO, CA
NPI1417491028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2016-12-15
Last Update Date2021-12-20
Business Address
MELISSA PROVOST
490 N GRAPE ST
ESCONDIDO, CA 92025-3079
Phone number: 760-975-9939
Mailing Address
MELISSA PROVOST
490 N GRAPE ST
ESCONDIDO, CA 92025-3079
Phone number: 760-975-9939
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