Provence, Andrew
Provence, Andrew is an individual health care provider with primary practice located at 2000 W Mcintosh Rd , Griffin GA 30223-6265. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Provence, Andrew can be contacted via phone (678) 688-3133.Contact Information
Primary practice address
2000 W Mcintosh Rd
Griffin GA 30223-6265
Phone: (678) 688-3133
Fax: (678) 688-3134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC003592 | Georgia |
Profile Details
| NPI number | 1114079159 |
|---|---|
| LBN Legal business name | Provence, Andrew |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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