JENESIS RAQUEL GIBSON

SHREVEPORT, LA
NPI1023527843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: LA  6454)
Enumeration Date2017-09-25
Last Update Date2017-09-25
Business Address
JENESIS RAQUEL GIBSON LPC
856 TEXAS AVE
SHREVEPORT, LA 71101-3400
Phone number: 318-429-6938
Mailing Address
JENESIS RAQUEL GIBSON LPC
8706 SAINT VINCENT AVE
SHREVEPORT, LA 71106-5557
Phone number: 225-931-5479