KARISSA ANN PROVOST

SANTA CLARITA, CA
NPI1356919344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  53366)
Enumeration Date2021-06-15
Last Update Date2021-06-15
Business Address
KARISSA ANN PROVOST
26330 DIAMOND PL STE 130
SANTA CLARITA, CA 91350-5819
Phone number: 818-501-3512
Mailing Address
KARISSA ANN PROVOST
26330 DIAMOND PL STE 130
SANTA CLARITA, CA 91350-5819
Phone number: 818-501-3512
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