Individual
JAMIE LYNN WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP 60814393
Contact information
Practice address
5617 N ALBERTA ST, SPOKANE, WA 99205-7003
(509) 218-1792
Mailing address
11919 W SPRAGUE, AIRWAY HEIGHTS, WA 99001
(509) 244-6800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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