NPI 1912582354

Sara Provo, LPCC

Practitioner Mental Health Counselor Victoria, MN

Practice location

Address: 1772 Stieger Lake Ln STE 220, Victoria, MN 55386-7723
Phone: (952) 443-4600
Fax: (952) 443-4604
Mailing address: PO Box 51, Victoria, MN 55386-0051

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 2765 (MN)

Other Counselor providers in Minnesota →

Registry record

NPI: 1912582354
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Mar 2021
Record last updated: 6 Apr 2021

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.