Individual provider · Type 1 NPI

Willie Daniel Ducksworth

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1134470073 Active

Practice location

2008 Pacific Ave
Long Beach, CA 90806-4610

Call (562) 591-0011 Map

Fax (562) 591-0071

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 1134470073

Willie Daniel Ducksworth's National Provider Identifier is 1134470073, issued on Oct 1, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Oct 1, 2012.