Provider Demographics
NPI:1043483407
Name:TOWNE, GUY W JR (BS, MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:GUY
Middle Name:W
Last Name:TOWNE
Suffix:JR
Gender:M
Credentials:BS, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 SUNGATE BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2871
Mailing Address - Country:US
Mailing Address - Phone:919-212-0129
Mailing Address - Fax:919-255-1540
Practice Address - Street 1:3305 SUNGATE BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2871
Practice Address - Country:US
Practice Address - Phone:919-212-0129
Practice Address - Fax:919-255-1540
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0062561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical