Provider Demographics
NPI:1215291125
Name:JEAN-FRANCOIS, LOURDINIE (LCPC)
Entity type:Individual
Prefix:MS
First Name:LOURDINIE
Middle Name:
Last Name:JEAN-FRANCOIS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 FORBES BLVD STE 122
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4322
Mailing Address - Country:US
Mailing Address - Phone:301-731-0383
Mailing Address - Fax:301-731-2835
Practice Address - Street 1:4200 FORBES BLVD STE 122
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4322
Practice Address - Country:US
Practice Address - Phone:301-731-0383
Practice Address - Fax:301-731-2835
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4342101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD415169100Medicaid