Michigan
Department of Licensing and Regulation
JACK MICHAEL PROVENCAL
Counselors - Professional Counselor
License number
6401004560
Date granted
10/13/1993
Date expires
05/31/2018
Class
Counselors - Professional Counselor
Status
Active
Address
michiganlicensing.org
ID 38873472
LAST UPDATED 2026-06-03 04:16:15 UTC
LAST UPDATED 2026-06-03 04:16:15 UTC
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