Individual
JACQUELINE ANN MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
9800 HILLWOOD PKWY STE 140, FT WORTH, TX 76177-1532
(619) 818-6516
Mailing address
10016 SHELBURNE RD, FORT WORTH, TX 76244-8524
(619) 818-6516
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
103200
CA
106H00000X
Marriage & Family Therapist
Primary
203440
TX
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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