Individual
TARA B WOMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCDC
Contact information
Practice address
28496 RANCH ROAD 12 STE 200, DRIPPING SPRINGS, TX 78620-5622
(254) 498-8104
Mailing address
28496 RANCH ROAD 12 STE 200, DRIPPING SPRINGS, TX 78620-5622
(254) 498-8104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12655
TX
104100000X
Social Worker
Primary
58109
TX
Other
Enumeration date
08/13/2018
Last updated
11/22/2024
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