Search › Minnesota › 101YM0800X
Sara Provo, LPCC
NPI 1912582354 · on the registry since 2021
Practice
- Address
- 1772 Stieger Lake Ln Ste 220
Victoria, MN 55386 - Phone
- (952) 443-4600
- Fax
- (952) 443-4604
- Clinicians at this address
- 33
Additional practice sites
- 313 Main Ave E, Deer River, MN
- 16180 Hastings Ave Se Ste 205, Prior Lake, MN
- 1435 White Oak Dr Ste 200, Chaska, MN
- 15265 Carrousel Way Ste 100, Rosemount, MN
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-06
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 Minnesota