Individual
NATASHA J PROVANCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10 W. EAGER ST, SUITE 313, BALTIMORE, MD 21201-5467
(443) 286-1125
Mailing address
10 W. EAGER ST, SUITE 313, BALTIMORE, MD 21201-5467
(443) 286-1125
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
001585
CT
106H00000X
Marriage & Family Therapist
Primary
LCM620
MD
Other
Enumeration date
06/21/2013
Last updated
02/16/2017
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