Individual provider · Type 1 NPI

Tracey Davenport

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1003254780 Active

Practice location

5012 S La Brea Ave Ste 2
Los Angeles, CA 90056-1863

Call (323) 290-0200 Map

Fax (323) 290-0202

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003254780

Tracey Davenport's National Provider Identifier is 1003254780, issued on Jun 4, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 4, 2013.