Search › Louisiana › 101YP2500X
Jesse Fallis, LPC
NPI 1538615067 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5655 N Lakeshore Dr
Shreveport, LA 71107 - Phone
- (318) 218-2360
- Fax
- (650) 870-2727
- Clinicians at this address
- 2
Additional practice sites
- 2285 Benton Rd, Bossier City, LA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana