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NPI Code Detail

MEDICARE: MR. KENT MITCHELL TOUSSAINT M.A. M.F.T.

MEDICARE: MR. KENT MITCHELL TOUSSAINT M.A. M.F.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC44685CA

General Provider Information

NPI Number : 1699941203
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KENT MITCHELL TOUSSAINT M.A. M.F.T.
Provider Business Mailing Address
First Line : 5550 TOPANGA CANYON BLVD STE 150
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7413
Country : US
Telephone Number : 818-697-8555
Fax Number :
Provider Business Practice Location Address
First Line : 5550 TOPANGA CANYON BLVD STE 150
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7413
Country : US
Telephone Number : 818-697-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2008
Last Update Date : 05/21/2020

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