Elizabeth Rose Provost, RADT
Elizabeth Rose Provost, RADT is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
3120 E Anita StStockton, CA 95205-3905
Phone: (209) 415-0315
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 19037 (CA) |
|---|
Record details
| NPI number | 1851182117 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RADT |
| Sole proprietor | No |
| NPI enumerated | May 15, 2025 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
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