Individual
JENNIFER LYNN GLEDHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
6240 GREENWOOD RD, SHREVEPORT, LA 71119-8413
(318) 562-6320
Mailing address
6240 GREENWOOD RD, SHREVEPORT, LA 71119-8413
(318) 562-6320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PLC7846
LA
171M00000X
Case Manager/Care Coordinator
Primary
PLC7846
LA
Other
Enumeration date
06/17/2019
Last updated
07/21/2021
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