Ronald Todd Provance, PRS

NPI #1306665195 in Massillon, Ohio

Provider Information

NPI Number: 1306665195
Entity Type: Individual
Name: Ronald Todd Provance, PRS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PRS
Enumeration Date: Oct 8, 2024
Last Updated: Dec 4, 2024

Practice Location

Address: 1680 NAVE RD SE
City: Massillon
State: Ohio
ZIP Code: 44646-9604
Phone: (330) 830-8740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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