Provider Demographics
NPI:1164102448
Name:GESSERT, JENNIFER LEIGH (LPC, CDCI)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEIGH
Last Name:GESSERT
Suffix:
Gender:F
Credentials:LPC, CDCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 G ST STE 311
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-2153
Mailing Address - Country:US
Mailing Address - Phone:907-308-4018
Mailing Address - Fax:877-356-3257
Practice Address - Street 1:308 G ST STE 311
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-2153
Practice Address - Country:US
Practice Address - Phone:907-308-4018
Practice Address - Fax:877-356-3257
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK118147101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health