Avery Wortham
Avery Wortham is an Addiction (Substance Use Disorder) Counselor in Venice, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
503 Ocean Frnt WalkVenice, CA 90291-2403
Phone: (310) 392-3070
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1639937907 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 11, 2024 |
| Last updated in NPPES | March 11, 2024 |
| Certification date | March 11, 2024 |
| Mailing address | 3114 W 74th St, Los Angeles, CA 90043-5008 |
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