Provost, Michelle Nicole

Provost, Michelle Nicole is an individual health care provider with primary practice located at 5501 Ne 109Th Ct Suite A-1, Vancouver WA 98662-6177. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Provost, Michelle Nicole can be contacted via phone (360) 558-5711.

Contact Information

Primary practice address
5501 Ne 109Th Ct Suite A-1 Vancouver WA 98662-6177
Phone: (360) 558-5711
Fax: (360) 695-0628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60161771 Washington
Behavioral Health & Social Service Providers / School 101YS0200X 060222650 California

Profile Details

NPI number 1972815215
LBN Legal business name Provost, Michelle Nicole
Credentials M.S., LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated Apr 27th, 2017 - about 7 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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