Individual
JUBILEE WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1700 CHERRY ST, ABERDEEN, WA 98520-3721
(360) 209-5421
Mailing address
1700 CHERRY ST, ABERDEEN, WA 98520-3721
(360) 209-5420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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