| Teen Therapy Center | |
|
6400 Canoga Ave Suite 312 Woodland Hills CA 91367-2425 | |
| (818) 983-7728 | |
| Not Available |
| Full Name | Teen Therapy Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6400 Canoga Ave, Woodland Hills, California |
| Authorized Official Name and Position | Kent Mitchell Toussaint (PRESIDENT) |
| Authorized Official Contact | 8189837728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Therapy Center 6400 Canoga Ave Suite 312 Woodland Hills CA 91367-2425 Ph: (818) 983-7728 | Teen Therapy Center 6400 Canoga Ave Suite 312 Woodland Hills CA 91367-2425 Ph: (818) 983-7728 |
| NPI Number | 1922490952 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 02/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922490952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 44685 (California) | Primary |
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