MR. INDIANA WOMACK, B.A., CMPSS

Rehabilitation Practitioner

Active Individual
NPI: 1316678659

Practice Address

900 FULTON AVE STE 205
Sacramento, CA 95825

Phone: (916) 484-3570

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X No MPSS-CYUFDS (CA)
Rehabilitation Practitioner 225400000X Yes -
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1316678659 is the National Provider Identifier for MR. INDIANA WOMACK, B.A., CMPSS, a Rehabilitation Practitioner provider located in Sacramento, CA. This NPI was enumerated on June 17, 2022.
MR. INDIANA WOMACK, B.A., CMPSS practices at 900 FULTON AVE STE 205, Sacramento, CA 95825.

Quick Facts

NPI
1316678659
Type
Individual
Enumerated
Jun 17, 2022
Last Updated
Aug 12, 2025

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