ELIZABETH ROSE PROVOST

STOCKTON, CA
NPI1851182117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  19037)
Enumeration Date2025-05-15
Last Update Date2025-05-15
Business Address
ELIZABETH ROSE PROVOST RADT
3120 E ANITA ST
STOCKTON, CA 95205-3905
Phone number: 209-415-0315
Mailing Address
ELIZABETH ROSE PROVOST RADT
3120 E ANITA ST
STOCKTON, CA 95205-3905
Phone number: 209-415-0315
Similar providers in Stockton, CA
SAN JOAQUIN BEHAVIORAL HEALTH SERVICES
JESSICA N WIELAND
CHRISTINE ANNE POHL-EIGHMY
BONNIE L MCCLELLAN
PALEI ALFARO
RICHARD ELLKS
K.PAIGE ALFORD
ROBIN MICHELLE DENNEY
RUBY KING
KRISTINA CARPENETTI