LARRY G PROVENCE

PRESCOTT VALLEY, AZ
NPI1801078027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: AZ  LPC11598)
Enumeration Date2007-11-29
Last Update Date2007-11-29
Business Address
-- LARRY G PROVENCE M.A., L.P.C.
4715 N STAGE WAY LN
PRESCOTT VALLEY, AZ 86314-5325
Phone number: 928-775-0019
Mailing Address
-- LARRY G PROVENCE M.A., L.P.C.
4715 N STAGE WAY LN
PRESCOTT VALLEY, AZ 86314-5325
Phone number: 928-775-0019
Similar providers in Prescott Valley, AZ
NOOSHIN ADIB
JULIE R. BECK
MELISSA RAUCH
COMMUNITY MEDICAL SERVICES IV LLC
VICKI JAYME KRAL
MELISSA M GENCO
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC
SARAH THOMAS
DEBRA ABARI
BETTINO COUNSELING