=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518117928
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | REBECCA L. TOWNSEND LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/22/2008
-----------------------------------------------------
Last Update Date | 09/22/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17500 SE 392ND ST
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98092-9705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-939-6648
-----------------------------------------------------
Fax | 253-333-3611
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17500 SE 392ND ST
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98092-9705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-939-6648
-----------------------------------------------------
Fax | 253-333-3611
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | LF00002658
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------