MICHAEL JEROME WOMACK

LOS ANGELES, CA
NPI1376309674
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-02-23
Last Update Date2024-02-23
Business Address
MICHAEL JEROME WOMACK
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
Mailing Address
MICHAEL JEROME WOMACK
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201