| Natasha J Provancher, LMFT | |
|
10 W. Eager St, Suite 313, Baltimore, MD 21201-5467 | |
| (443) 286-1125 | |
| Not Available |
| Full Name | Natasha J Provancher |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 10 W. Eager St, Baltimore, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164861241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LCM620 (Maryland) | Primary |
| 106H00000X | Marriage & Family Therapist | 001585 (Connecticut) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Natasha J Provancher, LMFT 10 W. Eager St, Suite 313, Baltimore, MD 21201-5467 Ph: (443) 286-1125 | Natasha J Provancher, LMFT 10 W. Eager St, Suite 313, Baltimore, MD 21201-5467 Ph: (443) 286-1125 |
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