Individual
CHRISTINA RENEE TOWNSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
541 S HAM LN STE A&B, LODI, CA 95242-3059
(209) 553-0798
Mailing address
541 S HAM LN STE A&B, LODI, CA 95242-3059
(209) 553-0798
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
29535
CA
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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