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Individual

MRS. PATRICIA R TOWNSEND-ZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LCADC

Contact information

Practice address
9034 AZALEA SANDS LN, DAVENPORT, FL 33896-8111
(973) 464-9240
Mailing address
9034 AZALEA SANDS LN, DAVENPORT, FL 33896-8111
(973) 464-9240

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00250500
NJ
101YP2500X
Professional Counselor
Primary
37PC00662000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000
NONE
NJ
Enumeration date
05/04/2021
Last updated
05/04/2021
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