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NPI Code Detail

MEDICARE: MR. MICHAEL TOWNSEND RADT-1

MEDICARE: MR. MICHAEL TOWNSEND RADT-1
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2175T00000XPeer Specialist728NM

General Provider Information

NPI Number : 1194229278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL TOWNSEND RADT-1
Provider Business Mailing Address
First Line : 993 POSTAL WAY
Second Line :
City : VISTA
State : CA
Zip : 92083-6945
Country : US
Telephone Number : 760-630-9922
Fax Number :
Provider Business Practice Location Address
First Line : 993 POSTAL WAY
Second Line :
City : VISTA
State : CA
Zip : 92083-6945
Country : US
Telephone Number : 760-630-9922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 06/12/2025

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Directions to “ MR. MICHAEL TOWNSEND RADT-1” Practice Location

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