Individual
KATELIN PROVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
37 S WATER ST STE 200, HENDERSON, NV 89015-7222
(702) 823-4300
Mailing address
37 S WATER ST, HENDERSON, NV 89015-7222
(702) 823-4300
(702) 462-2223
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114226101
NV
1041C0700X
Clinical Social Worker
Primary
12935-C
NV
Other
Enumeration date
09/21/2016
Last updated
01/21/2026
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