Individual provider · Type 1 NPI
Gilford Lee Gillen Jr., LPC
Professional Counselor · Shreveport, LA
NPI number
1083017073
Active
Practice location
707 Southfield Rd.
Shreveport, LA 71106
Fax (318) 869-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5077 (LA) |
Professional Counselor: Definition to come...
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About NPI 1083017073
Gilford Lee Gillen Jr., LPC's National Provider Identifier is 1083017073, issued on Oct 3, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Oct 3, 2014.