Provider Demographics
NPI:1114420072
Name:VANASSELBERG, LOUIS JACOB (MS, LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:JACOB
Last Name:VANASSELBERG
Suffix:
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8172 HIGHWAY 28 W
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-7770
Mailing Address - Country:US
Mailing Address - Phone:318-455-9998
Mailing Address - Fax:318-383-0937
Practice Address - Street 1:401 EDWARDS ST STE 830
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-5528
Practice Address - Country:US
Practice Address - Phone:877-360-7671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8498101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional