Individual provider · Type 1 NPI

Pigeon Provost

Marriage & Family Therapist · Los Angeles, CA

NPI number 1366134652 Active

Practice location

1625 Schrader Blvd
Los Angeles, CA 90028-6213

Call (323) 993-7500 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XAMFT160367 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1366134652

Pigeon Provost's National Provider Identifier is 1366134652, issued on May 24, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 3, 2026.