Individual
JABRIL WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1513 LINE AVE, SUITE 225, SHREVEPORT, LA 71101
(318) 754-3890
(318) 658-9012
Mailing address
411 GRAVOIS DR, SHREVEPORT, LA 71106-6901
(318) 572-7134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
06/29/2021
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