Provider Demographics
NPI:1790076388
Name:TOUSSAINT, JOEL
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:TOUSSAINT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21050 VANOWEN ST
Mailing Address - Street 2:APT #426
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-3070
Mailing Address - Country:US
Mailing Address - Phone:813-451-5716
Mailing Address - Fax:
Practice Address - Street 1:15015 OXNARD ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2613
Practice Address - Country:US
Practice Address - Phone:818-787-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)