Sharayah K. Provost LPC
Professional Counselor in Brookfield, WI(View on Map)
Full Name
Sharayah K Provost LPC
NPI Number
1477025823
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/26/2018
Specialties
(Taxonomies)Licenses
State
Wisconsin
Wisconsin
License Number
7206-125
3367-226
Contact
Information
Purpose
Mailing
Location
Address
W175N11120 STONEWOOD DR
16535 W BLUEMOUND RD STE 305
City
Germantown
Brookfield
State
WI
WI
Postal Code
53022-6511
53005-5936
Country
US
US
Telephone Number
(800) 438-1772
(800) 438-1770
Identifiers
Identifier
100084565
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/10/2020