Individual
MR. GREGORY JOSEPH PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Contact information
Practice address
3379 QUAKERBRIDGE RD STE 101, HAMILTON, NJ 08619-1246
(609) 439-0777
Mailing address
74 CHESTNUT CT, HILLSBOROUGH, NJ 08844-1403
(908) 227-7269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00312600
NJ
Other
Enumeration date
05/26/2007
Last updated
07/08/2007
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