MEDICARE: SARAH TOWNSEND MA, LMFTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MG60534869	WA

General Provider Information

NPI Number	:	1043600927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH TOWNSEND MA, LMFTA

Provider Business Mailing Address
First Line	:	350 NW 89TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-2103
Country	:	US
Telephone Number	:	206-972-2216
Fax Number	:

Provider Business Practice Location Address
First Line	:	3417 EVANSTON AVE N STE 304
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-8967
Country	:	US
Telephone Number	:	206-403-8061
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2015
Last Update Date	:	01/29/2015

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