Individual
LAQUAN ASHLEY WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
732 51ST ST SE, WASHINGTON, DC 20019-5827
(202) 491-7635
Mailing address
732 51ST ST SE, WASHINGTON, DC 20019-5827
(202) 491-7635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PRC15268
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
PRC15268
DC
101YM0800X
Mental Health Counselor
LC9690
MD
Other
Enumeration date
09/06/2019
Last updated
04/20/2026
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