Organization
KOUESSEU SUPPORT FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISLENE KOUESSEU (CEO)
(424) 376-7211
Entity
Organization
Contact information
Practice address
2864 E FLORENCE AVE STE 101&102, HUNTINGTON PARK, CA 90255-5749
(424) 376-7211
Mailing address
2864 E FLORENCE AVE STE 101&102, HUNTINGTON PARK, CA 90255-5749
(424) 376-7211
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TF0200X
Forensic Psychologist
—
—
163W00000X
Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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