Tracey Davenport
NPI #1003254780 in Los Angeles, California
Provider Information
- NPI Number
- 1003254780
- Entity Type
- Individual
- Name
- Tracey Davenport
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 4, 2013
- Last Updated
- Jun 4, 2013
Practice Location
- Address
- 5012 S LA BREA AVE STE 2
- City
- Los Angeles
- State
- California
- ZIP Code
- 90056-1863
- Phone
- (323) 290-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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