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NPI Code Detail

MEDICARE: DANIEL TOWNSEND B.S.

MEDICARE: DANIEL TOWNSEND B.S.
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386848596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL TOWNSEND B.S.
Provider Business Mailing Address
First Line : 22012 ROUGEWOOD DR
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-5970
Country : US
Telephone Number : 248-223-9155
Fax Number :
Provider Business Practice Location Address
First Line : 3737 LAWTON ST
Second Line :
City : DETROIT
State : MI
Zip : 48208-2500
Country : US
Telephone Number : 313-361-6136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 07/08/2007

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