Individual provider · Type 1 NPI

Avery Wortham

Addiction (Substance Use Disorder) Counselor · Venice, CA

NPI number 1639937907 Active

Practice location

503 Ocean Front Walk
Venice, CA 90291-2403

Call (310) 392-3070 Map

Mailing address

3114 W 74th St
Los Angeles, CA 90043-5008

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 1639937907

Avery Wortham's National Provider Identifier is 1639937907, issued on Mar 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Venice, CA. The record was last updated on Mar 11, 2024.