Individual
CHAUNTRECE JENAE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1656
(310) 412-0879
Mailing address
912 W ALMOND ST, COMPTON, CA 90220-2902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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