Rebecca Provost, LPC

NPI #1013303205 in Virginia Beach, Virginia

Provider Information

NPI Number: 1013303205
Entity Type: Individual
Name: Rebecca Provost, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Apr 14, 2015
Last Updated: Apr 14, 2015

Practice Location

Address: 921 FIRST COLONIAL RD STE 1711
City: Virginia Beach
State: Virginia
ZIP Code: 23454-3167
Phone: (757) 932-8057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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