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Andrew Provence, LPC
NPI 1114079159 · on the registry since 2007
Practice
- Address
- 2000 W Mcintosh Rd
Griffin, GA 30223 - Phone
- (678) 688-3133
- Fax
- (678) 688-3134
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia