Individual
JENNIFER SUZETTE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 JORDAN ST STE 550, SHREVEPORT, LA 71101-4526
(318) 734-9022
Mailing address
820 JORDAN ST STE 550, SHREVEPORT, LA 71101-4526
(318) 734-9022
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT1378
LA
Other
Enumeration date
04/06/2022
Last updated
12/05/2023
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