Mr. Michael Joseph Provencher Jr. is a Glyndon, Maryland based counselor who is specialized as Mental Health Counselor. Active license number of Mr. Michael Joseph Provencher Jr. is LGP15969 for Mental Health Counselor in Maryland. His current practice location is 117 Central Ave, Glyndon. Patients can book an appointment with him at 443-244-1886.
Mr. Michael Joseph Provencher Jr. is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mr. Michael Joseph Provencher Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mr. Michael Joseph Provencher Jr.
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
LGPC
Accepts Medicare Assignment:
No
Practice Address:
117 Central Ave, Glyndon, Maryland, 21071-4208
Phone:
443-244-1886
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1811793813
NPI Enumeration Date:
20 Feb, 2025
NPI Last Update On:
20 Feb, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Michael Joseph Provencher Jr. are as mentioned below.
License Number
Specialization
State
Status
LGP15969
Mental Health Counselor
Maryland
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 3, 117 Central Ave. Glyndon, Maryland
Zip:
21071
Phone Number:
443-244-1860
Patients can reach Mr. Michael Joseph Provencher Jr. at 117 Central Ave, Glyndon, Maryland or can call to book an appointment on 443-244-1886. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.