Individual provider · Type 1 NPI

Krystan Marie Townsend

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1104195627 Active

Practice location

102 S 11th St
San Jose, CA 95112-2132

Fax (408) 279-1930

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 1104195627

Krystan Marie Townsend's National Provider Identifier is 1104195627, issued on Dec 29, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Dec 29, 2011.