Mrs. Jennifer Provonche
Mrs. Jennifer Provonche is a Mental Health Counselor in Timonium, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2022
Practice location Address checks out
2205 York Rd Ste 10Timonium, MD 21093-3168
Phone: (443) 470-9226
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LC15041 (MD) |
|---|
Record details
| NPI number | 1588399307 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2022 |
| Last updated in NPPES | April 7, 2025 |
| Certification date | April 7, 2025 |
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