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NPI Code Detail

MEDICARE: KOUESSEU AND ASSOCIATES.INC

MEDICARE: KOUESSEU AND ASSOCIATES.INC
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
1101YS0200XSchool Counselor
2163W00000XRegistered Nurse
3251S00000XCommunity/Behavioral Health Agency
4373H00000XDay Training/Habilitation Specialist
5172V00000XCommunity Health Worker
6164X00000XLicensed Vocational Nurse
7103TF0200XForensic Psychologist
8103K00000XBehavior Analyst
9171M00000XCase Manager/Care Coordinator
10343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1427991082
Entity Type Code : Organization
Provider Name (Legal Business Name) : KOUESSEU AND ASSOCIATES.INC
Provider Business Mailing Address
First Line : 2864 E FLORENCE AVE STE 101&102
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-5749
Country : US
Telephone Number : 424-376-7211
Fax Number :
Provider Business Practice Location Address
First Line : 2864 E FLORENCE AVE STE 101&102
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-5749
Country : US
Telephone Number : 424-376-7211
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. GISLENE KOUESSEU
Credential :
Telephone Number : 424-376-7211
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/14/2026

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