Provider Demographics
NPI:1538232228
Name:HARTMAN, JEAN (LPC)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:MARIE
Other - Last Name:TROUP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8119 HOLLAND RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306
Mailing Address - Country:US
Mailing Address - Phone:703-799-2826
Mailing Address - Fax:703-780-6928
Practice Address - Street 1:8119 HOLLAND RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306
Practice Address - Country:US
Practice Address - Phone:703-799-2826
Practice Address - Fax:703-780-6928
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002841101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional