Provider Demographics
NPI:1578003216
Name:TOWNSEND, NATASHA (CADC-I)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13422 FOXBOROUGH WAY
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-5557
Mailing Address - Country:US
Mailing Address - Phone:760-680-6815
Mailing Address - Fax:
Practice Address - Street 1:13422 FOXBOROUGH WAY
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-5557
Practice Address - Country:US
Practice Address - Phone:760-680-6815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACI06990217101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)