Provider Demographics
NPI:1174824627
Name:JOURDAIN, TWILYNN MARIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:TWILYNN
Middle Name:MARIE
Last Name:JOURDAIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1000 JEFFERSON ST.
Mailing Address - Street 2:STE. 2C
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24504
Mailing Address - Country:US
Mailing Address - Phone:617-379-0496
Mailing Address - Fax:617-807-0548
Practice Address - Street 1:8800 ROSWELL RD.
Practice Address - Street 2:A135
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30350
Practice Address - Country:US
Practice Address - Phone:404-682-1923
Practice Address - Fax:678-838-8444
Is Sole Proprietor?:No
Enumeration Date:2010-11-14
Last Update Date:2015-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GALPC003556101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional