MS. Renae M Provost
MS. Renae M Provost is a Counselor in North Highlands, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
4612 Roseville RdNorth Highlands, CA 95660-5175
Phone: (916) 344-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1043346810 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 26, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 6921 Risata Way, Elk Grove, CA 95758-5824 |
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