KATHRYN ANNE MARIE PROVENZANO Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180005495

License Status

ACTIVE

Business

First Name

KATHRYN

Middle

ANNE MARIE

Last Name

PROVENZANO

Business Name

KATHRYN ANNE MARIE PROVENZANO

Original Issue Date

06/14/2004

Effective Date

03/08/2025

Expiration Date

03/31/2027

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/08/2025