Individual provider · Type 1 NPI

Betty Jo Gingles

Professional Counselor · Shreveport, LA

NPI number 1740948769 Active

Practice location

2000 Fairfield Ave
Shreveport, LA 71104-2002

Fax (318) 425-9670

Mailing address

1440 Hawn Ave
Shreveport, LA 71107-6532

Other practice locations

  • 527 Crockett St, Shreveport, LA 71101-3601 · (318) 222-8511

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X8733 (LA)
Case Manager/Care Coordinator 171M00000XNone listed

Professional Counselor: Definition to come...

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About NPI 1740948769

Betty Jo Gingles's National Provider Identifier is 1740948769, issued on Dec 7, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Feb 12, 2025.