MS. Renae M Provost
NPI #1043346810 in North Highlands, California
Provider Information
- NPI Number
- 1043346810
- Entity Type
- Individual
- Name
- MS. Renae M Provost
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4612 ROSEVILLE RD
- City
- North Highlands
- State
- California
- ZIP Code
- 95660-5175
- Phone
- (916) 344-0199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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