Individual
CHARLES TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3767 CENTRAL AVE, SAN DIEGO, CA 92105-2506
(619) 278-0777
Mailing address
9225 W CHARLESTON BLVD APT 2279, LAS VEGAS, NV 89117-7066
(702) 449-6057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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