Michael Provenzano
Michael Provenzano is a Professional Counselor in Lansing, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2018
Practice location Address checks out
913 W Holmes Rd Ste 200Lansing, MI 48910-0426
Phone: (517) 887-0226
Fax: (517) 887-8121
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 6401012536 (MI) |
|---|
Record details
| NPI number | 1225546831 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2018 |
| Last updated in NPPES | January 17, 2018 |
| Mailing address | 913 W Holmes Rd Ste 200, Lansing, MI 48910-0426 |
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