Provider Demographics
NPI:1609681378
Name:TAKOUDJOU, JEAN REMI
Entity type:Individual
Prefix:
First Name:JEAN REMI
Middle Name:
Last Name:TAKOUDJOU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14213 GRAND PRE RD APT A2
Mailing Address - Street 2:
Mailing Address - City:ASPEN HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20906-7808
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14213 GRAND PRE RD APT A2
Practice Address - Street 2:
Practice Address - City:ASPEN HILL
Practice Address - State:MD
Practice Address - Zip Code:20906-7808
Practice Address - Country:US
Practice Address - Phone:469-618-0933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker