Individual
MEGAN YEARY PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAC
Contact information
Practice address
763 MEETING ST, SUITE 100, CHARLESTON, SC 29403-3146
(864) 354-0963
Mailing address
763 MEETING ST, SUITE 100, CHARLESTON, SC 29403-3146
(864) 354-0963
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6378
SC
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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