Individual
AUDRA JAVAISE TOUSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S, PHD
Contact information
Practice address
2601 N HULLEN ST STE 200, METAIRIE, LA 70002-5964
(504) 270-1723
Mailing address
9211 S MERRILL AVE, CHICAGO, IL 60617-3943
(504) 270-1723
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.014720
IL
101YP2500X
Professional Counselor
Primary
6529
LA
Other
Enumeration date
11/08/2012
Last updated
03/28/2023
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