Individual provider · Type 1 NPI

Tracy R. Varnado

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

NPI number 1912249749 Active

Practice location

4715 Crenshaw Blvd
Los Angeles, CA 90043-1233

Mailing address

1116 W 90th St Apt 204
Los Angeles, CA 90044-3345

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 1912249749

Tracy R. Varnado's National Provider Identifier is 1912249749, issued on Mar 19, 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 Mar 19, 2013.