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Individual

MRS. JACQUELINE M GILCREASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., PLPC

Contact information

Practice address
800 SPRING ST, STE. 215, SHREVEPORT, LA 71101-3758
(318) 227-8390
Mailing address
855 ELMWOOD ST, SHREVEPORT, LA 71104-4801
(318) 547-6154

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6252
LA
101YP2500X
Professional Counselor
Primary
6252
LA

Other

Enumeration date
01/04/2016
Last updated
09/02/2022
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