Individual
GIOVANNA WOMACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA COUNSELING
Contact information
Practice address
8106 E JEFFERSON AVE APT D111, DETROIT, MI 48214-8052
(313) 409-6105
Mailing address
8106 E JEFFERSON AVE APT D111, DETROIT, MI 48214-8052
(313) 409-6105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6451023474
MI
Other
Enumeration date
02/14/2018
Last updated
02/29/2024
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