Provider Demographics
NPI:1336299585
Name:LEJEUNE, KENDALL (LPC)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:
Last Name:LEJEUNE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 W BROAD ST STE 310
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-4273
Mailing Address - Country:US
Mailing Address - Phone:337-515-4411
Mailing Address - Fax:337-508-1717
Practice Address - Street 1:127 W BROAD ST STE 310
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-4273
Practice Address - Country:US
Practice Address - Phone:337-515-4411
Practice Address - Fax:337-508-1717
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3040-S101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA600017094Medicaid