MICHELLE L PROVOST

ORANGEBURG, SC
NPI1457068413
Former NameMICHELLE L PROVOST-WASSELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: SC  6216)
Enumeration Date2022-10-31
Last Update Date2022-10-31
Business Address
Ms. MICHELLE L PROVOST LPC, CHt
6315 KIPS LN
ORANGEBURG, SC 29115-9788
Phone number: 803-347-8600
Mailing Address
Ms. MICHELLE L PROVOST LPC, CHt
6315 KIPS LN
ORANGEBURG, SC 29115-9788
Phone number: 803-347-8600
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