Indiana
Professional Licensing Agency
Lisa E. Provost
Mental Health Counselor
License number
39000109A
Date granted
03/31/1999
Date expires
04/01/2016
Class
Mental Health Counselor
Status
Active
Address
Evansville IN 47714
indianalicensing.org
ID 1964219
LAST UPDATED 2024-04-19 09:53:42 UTC
LAST UPDATED 2024-04-19 09:53:42 UTC
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