Individual provider · Type 1 NPI

Tanya Lee Fadely

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

NPI number 1700029329 Active

Practice location

5311 S Western Ave
Los Angeles, CA 90062-2703

Call (323) 299-2111 Map

Fax (323) 299-2525

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 1700029329

Tanya Lee Fadely's National Provider Identifier is 1700029329, issued on Apr 13, 2009. 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 Apr 13, 2009.