Individual
SYLVIA PROVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3084 WESTFORK DR STE C, BATON ROUGE, LA 70816-2254
(225) 960-1813
Mailing address
3084 WESTFORK DR STE C, BATON, LA 70814
(225) 960-1813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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