Search › Maryland › 101YM0800X
Michael Provencher, LGPC
NPI 1811793813 · on the registry since 2025 · sole proprietor
Practice
- Address
- 117 Central Ave
Glyndon, MD 21071 - Phone
- (443) 244-1886
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-20
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 Maryland