Provider Demographics
NPI:1265602015
Name:HILDEMBRAND, SANDRINE (LGPC)
Entity type:Individual
Prefix:MRS
First Name:SANDRINE
Middle Name:
Last Name:HILDEMBRAND
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WISCONSIN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-4504
Mailing Address - Country:US
Mailing Address - Phone:202-487-5157
Mailing Address - Fax:
Practice Address - Street 1:575 RITCHIE RD
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-3619
Practice Address - Country:US
Practice Address - Phone:301-324-3757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP3100101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor