Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY G PROVENCE, M.A., L.P.C.
Active Sole ProprietorLARRY G PROVENCE, M.A., L.P.C. is a Professional Counselor healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1801078027 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · PRESCOTT VALLEY, AZ
Registration Details
- NPI Number
- 1801078027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2007 (18.666792539202 yrs)
- Last Updated
- Nov 29, 2007
- License
-
LPC11598 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4715 N STAGE WAY LNPRESCOTT VALLEY, AZ, 863145325Browse AZ providers · Browse ZIP 86314
- Phone
- 9287750019
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in PRESCOTT VALLEY, AZ
| Name | Credential | NPI |
|---|---|---|
| SEAN P DERRY | LPC | 1659353720 |
| KENT MATTERN | LPC | 1265414387 |
| JEANINE L FOREMAN | LPC | 1760464861 |
| SUSAN K STRONG | MED, LPC, LISAC, NCC | 1871567891 |
| JULIE R. BECK | MC, LPC | 1629027230 |
| MRS. CAROL ANNE BETTINO | M.A. L.P.C. | 1184714503 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.