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Johanna Marie Womack, MALPC
Professional Counselor in Boonville, Missouri
NPI 1063721173

Johanna Marie Womack is a Professional Counselor based in Springfield, MO and is specialized in Professional. Johanna Marie Womack practices in Boonville, MO and has the professional credentials of MALPC. The NPI Number for Johanna Marie Womack is 1063721173 and holds a License No. 2010027678 (Missouri).

The current practice location address for Johanna Marie Womack is 520 Ryan St Ste W, Boonville, MO and can be reached out via phone at 660-882-7573.

Location: 520 Ryan St Ste W, Boonville, MO, 65804-4264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063721173
Provider Name
Johanna Marie Womack
Credential
MALPC
Provider Entity Type
Individual
Gender
Female
Address
520 Ryan St Ste W, Boonville, MO, 65804-4264
Phone Number
660-882-7573
Fax Number
Provider Enumeration Date
10/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
494287808 05 MO
institution
Provider Business Practice Location Address Details
Address
520 Ryan St Ste W
City
Boonville
State
Missouri
Zip
65233-1894
Phone Number
660-882-7573
Fax Number
person
Provider Business Mailing Address Details
Address
520 Ryan St Ste W
City
Boonville
State
Missouri
Zip
65233-1894
Phone Number
660-882-7573
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2010027678 (Missouri)
Definition
Definition to come...
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