Provance, Jean Louise

Provance, Jean Louise is an individual health care provider with primary practice located at 807 Cranbury Cross Rd , North Brunswick NJ 08902-2268. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Provance, Jean Louise can be contacted via phone (908) 510-0532.

Contact Information

Primary practice address
807 Cranbury Cross Rd North Brunswick NJ 08902-2268
Phone: (908) 510-0532
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05473500 New Jersey
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL055245000 New Jersey
Behavioral Health & Social Service Providers / Social Worker 104100000X 077689-1 New York

Profile Details

NPI number 1447405527
LBN Legal business name Provance, Jean Louise
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2008
Last updated Oct 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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