Provider Demographics
NPI:1720477078
Name:TOUTAIN, JENNIFER (LCDP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:TOUTAIN
Suffix:
Gender:F
Credentials:LCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3670 W SHORE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-5082
Mailing Address - Country:US
Mailing Address - Phone:401-235-7000
Mailing Address - Fax:
Practice Address - Street 1:3670 W SHORE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-5082
Practice Address - Country:US
Practice Address - Phone:401-400-0879
Practice Address - Fax:401-384-7257
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-09
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health