Individual provider · Type 1 NPI

Tia Denise Womack

Counselor · Jacksonville, FL

NPI number 1073110508 Active

Practice location

2392 Edgewood Ave N
Jacksonville, FL 32254-1725

Mailing address

12226 Glimmer Way
Jacksonville, FL 32219-1864

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073110508

Tia Denise Womack's National Provider Identifier is 1073110508, issued on Oct 7, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 7, 2020.