CARISSA PROVOST

PLATTSBURGH, NY
NPI1568125383
Former NameCARISSA KENNEDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  013715)
Enumeration Date2021-10-19
Last Update Date2024-01-24
Business Address
CARISSA PROVOST LMHC-P
8 BROAD ST
PLATTSBURGH, NY 12901-3420
Phone number: 518-825-1555
Mailing Address
CARISSA PROVOST LMHC-P
8 BROAD ST
PLATTSBURGH, NY 12901-3420
Phone number: 518-825-1555
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