Provost, Renae M

Provost, Renae M is an individual health care provider with primary practice located at 4612 Roseville Rd , North Highlands CA 95660-5175. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Provost, Renae M can be contacted via phone (916) 344-0199.

Contact Information

Primary practice address
4612 Roseville Rd North Highlands CA 95660-5175
Phone: (916) 344-0199
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1043346810
LBN Legal business name Provost, Renae M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 19 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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