Karissa Ann Provost
Karissa Ann Provost is a Marriage & Family Therapist in Santa Clarita, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
26330 Diamond Pl Ste 130Santa Clarita, CA 91350-5819
Phone: (818) 501-3512
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 53366 (CA) |
|---|
Record details
| NPI number | 1356919344 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 15, 2021 |
| Last updated in NPPES | June 15, 2021 |
| Certification date | June 15, 2021 |
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