Provider Demographics
NPI:1356542955
Name:TOWNSEND, CHERI A (LMFT)
Entity type:Individual
Prefix:MS
First Name:CHERI
Middle Name:A
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CHERI
Other - Middle Name:A
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4001 W ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4338
Mailing Address - Country:US
Mailing Address - Phone:818-650-2337
Mailing Address - Fax:
Practice Address - Street 1:4001 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4338
Practice Address - Country:US
Practice Address - Phone:818-650-2337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 47335106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC47335OtherBBS