Provider Demographics
NPI:1184071243
Name:LANGBEIN, JESSLYN PEARSON (LPC, CFLE)
Entity type:Individual
Prefix:MRS
First Name:JESSLYN
Middle Name:PEARSON
Last Name:LANGBEIN
Suffix:
Gender:F
Credentials:LPC, CFLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 KIRKMAN ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-4603
Mailing Address - Country:US
Mailing Address - Phone:337-475-3100
Mailing Address - Fax:
Practice Address - Street 1:106 W PORT ST
Practice Address - Street 2:
Practice Address - City:DERIDDER
Practice Address - State:LA
Practice Address - Zip Code:70634-4040
Practice Address - Country:US
Practice Address - Phone:337-462-1354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC6408101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health