Sara Provo, LPCC

NPI #1912582354 in Victoria, Minnesota

Provider Information

NPI Number: 1912582354
Entity Type: Individual
Name: Sara Provo, LPCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPCC
Enumeration Date: Mar 17, 2021
Last Updated: Apr 6, 2021

Practice Location

Address: 1772 STIEGER LAKE LN STE 220
City: Victoria
State: Minnesota
ZIP Code: 55386-7723
Phone: (952) 443-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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