Individual
JACQUELINE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
211 DEER TRCE, PINEVILLE, LA 71360-5996
(986) 206-0414
Mailing address
169 MADISON AVE STE 15011, NEW YORK, NY 10016-5101
(986) 206-0414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1487597613
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
07/15/2026
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