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ERIKA PROVENCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
22639 EUCLID AVE, EUCLID, OH 44117-1622
(216) 404-1900
Mailing address
2310 OHIO AVE APT 149, CINCINNATI, OH 45219-1628
(505) 967-7209

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2406427
OH

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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