Individual
SHAWN GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7303 WINDER DR, SHREVEPORT, LA 71129
(318) 393-8612
(318) 675-0226
Mailing address
7303 WINDER DR, SHREVEPORT, LA 71129-4014
(318) 393-8612
(318) 675-0226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/06/2015
Last updated
05/15/2018
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