Individual
BRITTANI PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
5426 N ACADEMY BLVD STE 103, COLORADO SPRINGS, CO 80918-3686
(719) 377-2208
Mailing address
11305 CRANSTON DR, PEYTON, CO 80831-6841
(337) 842-2511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0021959
CO
Other
Enumeration date
05/15/2022
Last updated
04/06/2025
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