Provider Demographics
NPI:1467668384
Name:LEJEUNE, KEVIN SCOTT (LPC-S, LMFT, CSP)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:SCOTT
Last Name:LEJEUNE
Suffix:
Gender:M
Credentials:LPC-S, LMFT, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 554
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:LA
Mailing Address - Zip Code:71463-0554
Mailing Address - Country:US
Mailing Address - Phone:318-215-0295
Mailing Address - Fax:318-335-3753
Practice Address - Street 1:113 N 13TH ST
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:LA
Practice Address - Zip Code:71463-2742
Practice Address - Country:US
Practice Address - Phone:318-215-0295
Practice Address - Fax:318-335-3753
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2512-S101YM0800X
LA2512101YP2500X
LAAN477826103TS0200X
LA220106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAN 477826OtherLA DEPARTMENT OF EDUCATION- CERTIFIED SCHOOL PSYCHOLOGIST
LAAN 005389OtherLA DEPARTMENT OF EDUCATION- CERTIFIED SCHOOL COUNSELOR
8717OtherNATIONAL BOARD FOR CERTIFIED COUNSELORS- NCC, NCSC