Healthcare Provider Details

I. General information

NPI: 1134072572
Provider Name (Legal Business Name): SIAN TOWNSEND AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 SHATTUCK AVE STE 4
BERKELEY CA
94705-1808
US

IV. Provider business mailing address

584 CASTRO ST # 3112
SAN FRANCISCO CA
94114-2512
US

V. Phone/Fax

Practice location:
  • Phone: 415-409-9144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT158830
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: