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NPI Code Detail

MEDICARE: MRS. JESSLYN PEARSON LANGBEIN LPC, CFLE

MEDICARE: MRS. JESSLYN PEARSON LANGBEIN LPC, CFLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor6408LA

General Provider Information

NPI Number : 1184071243
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSLYN PEARSON LANGBEIN LPC, CFLE
Provider Business Mailing Address
First Line : 4105 KIRKMAN ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70607-4603
Country : US
Telephone Number : 337-475-3100
Fax Number :
Provider Business Practice Location Address
First Line : 106 W PORT ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-4040
Country : US
Telephone Number : 337-462-1354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2016
Last Update Date : 11/10/2025

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