person
Jesse Fallis, LPC
Professional Counselor in Shreveport, Louisiana
NPI 1538615067

Jesse Fallis is a Professional Counselor based in Shreveport, LA and is specialized in Professional. Jesse Fallis practices in Shreveport, LA and has the professional credentials of LPC. The NPI Number for Jesse Fallis is 1538615067 and holds a License No. (Louisiana).

The current practice location address for Jesse Fallis is 5655 N Lakeshore Dr, Shreveport, LA and can be reached out via phone at 318-218-2360 and via fax at 650-870-2727.

Location: 5655 N Lakeshore Dr, Shreveport, LA, 71107-9382
person
Provider Profile Details
NPI Number
1538615067
Provider Name
Jesse Fallis
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
5655 N Lakeshore Dr, Shreveport, LA, 71107-9382
Phone Number
318-218-2360
Fax Number
650-870-2727
Provider Enumeration Date
08/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7191 01 LA LICENSED PROFESSIONAL COUNSELOR
886921 01 NATIONAL BOARD CERTIFIED COUNSELORS
institution
Provider Business Practice Location Address Details
Address
5655 N Lakeshore Dr
City
State
Zip
71107-9382
Phone Number
318-218-2360
Fax Number
650-870-2727
person
Provider Business Mailing Address Details
Address
5655 N Lakeshore Dr
City
State
Zip
71107-9382
Phone Number
318-218-2360
Fax Number
650-870-2727
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
7191 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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