VANESSA PROVENCIO

Counselor

Active Individual
NPI: 1740067271

Practice Address

2240 N HWY 89 STE C
Harrisville, UT 84404

Phone: (877) 393-6232

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1740067271 is the National Provider Identifier for VANESSA PROVENCIO, a Counselor provider located in Harrisville, UT. This NPI was enumerated on September 8, 2023.
VANESSA PROVENCIO practices at 2240 N HWY 89 STE C, Harrisville, UT 84404.

Quick Facts

NPI
1740067271
Type
Individual
Enumerated
Sep 8, 2023
Last Updated
Sep 8, 2023

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