Individual provider · Type 1 NPI
Jennifer Nicole Womack, LPC
Professional Counselor · Dallas, TX
NPI number
1770824013
Active
Practice location
4104 N Hall St Apt 106
Dallas, TX 75219-5627
Mailing address
4104 N Hall St, # 106
Dallas, TX 75219-3655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 68501 (TX) |
| Professional Counselor Primary | 101YP2500X | 68501 (TX) |
Professional Counselor: Definition to come...
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About NPI 1770824013
Jennifer Nicole Womack, LPC's National Provider Identifier is 1770824013, issued on Mar 12, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Oct 31, 2015.