# JAMAL D GIPSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295204667
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 8801 | LA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 5204 | LA | — |
| 101YM0800X | Mental Health Counselor | 8801 | LA | — |
| 101YP2500X | Professional Counselor | 8801 | LA | Yes |
| 171M00000X | Case Manager/Care Coordinator | 5190 | LA | Yes |

## Other

- **Enumeration date:** 11/15/2018
- **Last updated:** 03/27/2026