Individual
CAITLIN PROVENCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
707 N COURTHOUSE RD, NORTH CHESTERFIELD, VA 23236-4045
(804) 924-2236
Mailing address
707 N COURTHOUSE RD, NORTH CHESTERFIELD, VA 23236-4045
(804) 924-2236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701015879
VA
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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