Individual
JACQUELINE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
207 ROCK PRAIRIE RD STE B, COLLEGE STATION, TX 77845-8777
(979) 229-7636
Mailing address
7955 DRUMMER CIR, COLLEGE STATION, TX 77845-8088
(979) 218-5879
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202349
TX
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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