Larry G Provence, M.A., L.P.C. is a professional counselor in Prescott Valley, AZ. Larry G Provence, M.A., L.P.C. NPI is 1801078027. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4715 N STAGE WAY LN
PRESCOTT VALLEY, AZ
ZIP 86314-325
Phone: (928) 775-0019
The enumeration date for this NPI number is 11/29/2007 and was last updated on 11/29/2007.