AVERY WORTHAM

VENICE, CA
NPI1639937907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-03-11
Last Update Date2024-03-11
Business Address
AVERY WORTHAM
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
Mailing Address
AVERY WORTHAM
3114 W 74TH ST
LOS ANGELES, CA 90043-5008
Phone number: 323-841-9944
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