Individual
NICOLLE R WOMACK-SORRELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6327 FOSTER ST, DISTRICT HEIGHTS, MD 20747-4929
(202) 805-3376
Mailing address
6327 FOSTER ST, DISTRICT HEIGHTS, MD 20747-4929
(202) 805-3376
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC15245
MD
101YM0800X
Mental Health Counselor
LC15245
MD
101YP2500X
Professional Counselor
Primary
LC15245
MD
Other
Enumeration date
03/08/2021
Last updated
01/24/2025
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