Individual
MS. JACQUELINE YVONNE MANWARING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RSW,MA,LPC,LMFT,NCC
Contact information
Practice address
2620 CENTENARY BLVD, SUITE306, SHREVEPORT, LA 71104-3356
(318) 676-3332
(318) 676-3335
Mailing address
2620 CENTENARY BLVD, SUITE306, SHREVEPORT, LA 71104-3356
(318) 676-3332
(318) 676-3335
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88025
MD
101YP2500X
Professional Counselor
2913
LA
104100000X
Social Worker
6633
LA
106H00000X
Marriage & Family Therapist
857
LA
Other
Enumeration date
06/07/2006
Last updated
09/11/2025
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