Healthcare Provider Details

I. General information

NPI: 1538755574
Provider Name (Legal Business Name): DONNA YOUSSEF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 MOLINO AVE
LONG BEACH CA
90803-5728
US

IV. Provider business mailing address

246 MOLINO AVE
LONG BEACH CA
90803-5728
US

V. Phone/Fax

Practice location:
  • Phone: 424-501-6232
  • Fax:
Mailing address:
  • Phone: 424-501-6232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number16815
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number145680
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: