Provider Demographics
NPI:1831590389
Name:ELHAOULI, HUSSAIN JOHNEE (LCSW)
Entity type:Individual
Prefix:
First Name:HUSSAIN
Middle Name:JOHNEE
Last Name:ELHAOULI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3154 GLENDALE BLVD # 1059
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1830
Mailing Address - Country:US
Mailing Address - Phone:626-671-2779
Mailing Address - Fax:
Practice Address - Street 1:3154 GLENDALE BLVD # 1059
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1830
Practice Address - Country:US
Practice Address - Phone:626-671-2779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2025-05-22
Deactivation Date:2020-10-05
Deactivation Code:
Reactivation Date:2024-09-19
Provider Licenses
StateLicense IDTaxonomies
390200000X
CALCSW964161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program