Individual
MS. SHALONDA NICHOLE PROVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
18331 HWY 182 WEST, BALDWIN, LA 70514
(337) 924-9418
(337) 924-9165
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5669
LA
Other
Enumeration date
12/11/2007
Last updated
02/11/2025
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