NPI 1013303205

Rebecca Provost, LPC

Practitioner Professional Counselor Virginia Beach, VA

Practice location

Address: 921 First Colonial Rd STE 1711, Virginia Beach, VA 23454-3167
Phone: (757) 932-8057
Mailing address: 3400 Archer CT, Virginia Beach, VA 23452-5911

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 0701005979 (VA)

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Registry record

NPI: 1013303205
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2015
Record last updated: 14 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.