Healthcare Provider Details

I. General information

NPI: 1215291125
Provider Name (Legal Business Name): LOURDINIE JEAN-FRANCOIS LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2012
Last Update Date: 06/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 FORBES BLVD STE 122
LANHAM MD
20706-4322
US

IV. Provider business mailing address

4200 FORBES BLVD STE 122
LANHAM MD
20706-4322
US

V. Phone/Fax

Practice location:
  • Phone: 301-731-0383
  • Fax: 301-731-2835
Mailing address:
  • Phone: 301-731-0383
  • Fax: 301-731-2835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC4342
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: