Provider Demographics
NPI:1023622230
Name:PERDU-OUIMET, JOANNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:PERDU-OUIMET
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:OUIMET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1768 COTTONWOOD GROVE RD
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-3071
Mailing Address - Country:US
Mailing Address - Phone:855-643-5787
Mailing Address - Fax:
Practice Address - Street 1:INDELIBLE CHANGES
Practice Address - Street 2:4191 WATERWAY DR.
Practice Address - City:MONTCLAIR
Practice Address - State:VA
Practice Address - Zip Code:22026-2202
Practice Address - Country:US
Practice Address - Phone:855-643-5787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011011103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst