Jacquelyn Marie Provenzola
ActiveMichigan license 6801113609
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 6801113609
- Status
- Active
- First issued
- December 27, 2021
- Expires
- December 27, 2028
- License holder
- Jacquelyn Marie Provenzola
- Entity type
- Individual
Classifications
- Masters Social Worker Mental Health & Counseling