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Provider Information for 1932515145


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ALICIA AUSTIN-TOWNSEND


Sex: Female

NPI: 1932515145
Last Updated: 2020-09-22
Certification Date: 2020-09-22

Details

NameValue
NPI1932515145
Enumeration Date2014-07-08
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2550 W CLINTON AVE UNIT 397
FRESNO, CA 93705-4223
United States

Phone: 925-270-6641 | Fax:
 
Primary Practice Address 2550 W CLINTON AVE BLDG W
FRESNO, CA 93705-4206
United States

Phone: 559-264-7521 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CALMFT114307