Individual
MS. ANNA LANE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
2759 DELK RD SE, SUITE 1200, MARIETTA, GA 30067-8847
(678) 401-4596
(678) 401-3126
Mailing address
200 RIVER VISTA DR, #634, ATLANTA, GA 30339-7602
(404) 316-6495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008735
GA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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