Individual
CRYSTAL MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
422 COLONIAL DR, BATON ROUGE, LA 70806-6505
(225) 922-0478
(225) 922-2658
Mailing address
4615 GOVERNMENT ST BLDG 1, BATON ROUGE, LA 70806-5922
(225) 922-0478
(225) 922-2658
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
13711
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/04/2016
Last updated
06/28/2021
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