Provider Demographics
NPI:1699941203
Name:TOUSSAINT, KENT MITCHELL (MA MFT)
Entity type:Individual
Prefix:MR
First Name:KENT
Middle Name:MITCHELL
Last Name:TOUSSAINT
Suffix:
Gender:M
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 TOPANGA CANYON BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7413
Mailing Address - Country:US
Mailing Address - Phone:818-697-8555
Mailing Address - Fax:
Practice Address - Street 1:5550 TOPANGA CANYON BLVD STE 150
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-7413
Practice Address - Country:US
Practice Address - Phone:818-697-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-03
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44685106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist