Jenesis Raquel Gibson, LPC
NPI #1023527843 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1023527843
- Entity Type
- Individual
- Name
- Jenesis Raquel Gibson, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Sep 25, 2017
- Last Updated
- Sep 25, 2017
Practice Location
- Address
- 856 TEXAS AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-3400
- Phone
- (318) 429-6938
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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