LIZA CRISTIN PROVENZANO

JACKSONVILLE, FL
NPI1427203736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  mh9038)
Enumeration Date2008-12-01
Last Update Date2015-07-02
Business Address
Mrs. LIZA CRISTIN PROVENZANO LMHC
13400 SUTTON PARK DR S SUITE 1504
JACKSONVILLE, FL 32224-0236
Phone number: 904-568-5826
Mailing Address
Mrs. LIZA CRISTIN PROVENZANO LMHC
912 COLLINSWOOD DR W
JACKSONVILLE, FL 32225-0861
Phone number: 904-568-5826
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