Individual
BREANNA LEE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S, NCC
Contact information
Practice address
2104 N BROADWAY ST UNIT A, POTEAU, OK 74953-2538
(918) 647-0485
(918) 647-0571
Mailing address
PO BOX 87, POTEAU, OK 74953-0087
(918) 647-0485
(918) 647-0571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
10/28/2022
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