Mr. Michael Joseph Provencher Jr., LGPC
Mr. Michael Joseph Provencher Jr., LGPC is a Mental Health Counselor in Glyndon, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2025
Practice location Address checks out
117 Central AveGlyndon, MD 21071-4208
Phone: (443) 244-1886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LGP15969 (MD) |
|---|
Record details
| NPI number | 1811793813 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LGPC |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2025 |
| Last updated in NPPES | February 20, 2025 |
| Certification date | February 20, 2025 |