Provider Demographics
NPI:1942951157
Name:GIROUX, JOAN (NBCHWC)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:GIROUX
Suffix:
Gender:F
Credentials:NBCHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 CROUCH ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-3722
Mailing Address - Country:US
Mailing Address - Phone:760-757-7300
Mailing Address - Fax:
Practice Address - Street 1:5814 VAN ALLEN WAY STE 215
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7360
Practice Address - Country:US
Practice Address - Phone:760-757-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA-3134742
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA-3134742OtherNATIONAL BOARD OF HEALTH & WELLNESS COACHES