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Ryan Provencher
NPI 1265235220 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1151 W Wilson St
Banning, CA 92220 - Phone
- (951) 922-0250
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- School Counselor
101YS0200X
- Sex
- Male
- Record last updated
- 2025-03-27
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 California