Individual provider · Type 1 NPI

Matthew Jason Womack, LCDC-I

Addiction (Substance Use Disorder) Counselor · San Antonio, TX

NPI number 1124850672 Active

Practice location

601 N Frio St Bldg 2
San Antonio, TX 78207-3011

Fax (210) 731-9661

Mailing address

6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X68117 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124850672

Matthew Jason Womack, LCDC-I's National Provider Identifier is 1124850672, issued on Aug 14, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Antonio, TX. The record was last updated on Aug 14, 2024.