Individual
JAMAL D GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4951 CENTRAL AVE, MONROE, LA 71203-6156
(318) 340-1535
(318) 340-1539
Mailing address
511 STERLINGTON HWY, FARMERVILLE, LA 71241-3122
(318) 309-1449
(318) 309-1317
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8801
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
5204
LA
101YM0800X
Mental Health Counselor
8801
LA
101YP2500X
Professional Counselor
Primary
8801
LA
171M00000X
Case Manager/Care Coordinator
Primary
5190
LA
Other
Enumeration date
11/15/2018
Last updated
03/27/2026
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