Stephanie Lynn Provis
NPI #1114711165 in Fox Lake, Illinois
Provider Information
- NPI Number
- 1114711165
- Entity Type
- Individual
- Name
- Stephanie Lynn Provis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 7, 2025
- Last Updated
- Apr 7, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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