Individual provider · Type 1 NPI

Michael Demetrice Womble, LPC

Professional Counselor · Milledgeville, GA

NPI number 1922602218 Active

Practice location

1929 Karen Cir Apt A
Milledgeville, GA 31061-2232

Call (478) 696-9596 Map

Mailing address

PO Box 129
Milledgeville, GA 31059-0129

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC008214 (GA)

Professional Counselor: Definition to come...

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About NPI 1922602218

Michael Demetrice Womble, LPC's National Provider Identifier is 1922602218, issued on Nov 26, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milledgeville, GA. The record was last updated on Nov 26, 2020.