Mai Le Provencio, LCSW
Mai Le Provencio, LCSW is a Clinical Social Worker in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2017
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
7235 W Potomac Dr Ste 220Boise, ID 83704-9133
Phone: (208) 794-9703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence LCSW-34323 (ID) |
|---|
Record details
| NPI number | 1821534017 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | January 11, 2017 |
| Last updated in NPPES | October 23, 2024 |
| Certification date | October 23, 2024 |
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