Healthcare Provider Details

I. General information

NPI: 1952557456
Provider Name (Legal Business Name): JENNIFER LYNN HESSER LPC, LMFT, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1914 CITIZENS BANK DR STE 110
BOSSIER CITY LA
71111-3423
US

IV. Provider business mailing address

1914 CITIZENS BANK DR STE 110
BOSSIER CITY LA
71111-3423
US

V. Phone/Fax

Practice location:
  • Phone: 318-455-2343
  • Fax:
Mailing address:
  • Phone: 318-455-2343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number79793
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3288
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1056
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: