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Tara Sandra Marie Townsend
Peer Specialist in Clarkston, Michigan
NPI 1053770933

Tara Sandra Marie Townsend is a Peer Specialist based in Clarkston, MI. Tara Sandra Marie Townsend practices in Clarkston, MI. The NPI Number for Tara Sandra Marie Townsend is 1053770933 and holds a License No. (Michigan).

The current practice location address for Tara Sandra Marie Townsend is 10103 Dixie Hwy Apt 3, Clarkston, MI and can be reached out via phone at 248-785-8773.

Location: 10103 Dixie Hwy Apt 3, Clarkston, MI, 48348-2457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053770933
Provider Name
Tara Sandra Marie Townsend
Credential
Provider Entity Type
Individual
Gender
Female
Address
10103 Dixie Hwy Apt 3, Clarkston, MI, 48348-2457
Phone Number
248-785-8773
Fax Number
Provider Enumeration Date
02/19/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105340379 05 MI
institution
Provider Business Practice Location Address Details
Address
10103 Dixie Hwy Apt 3
City
Clarkston
State
Michigan
Zip
48348-2457
Phone Number
248-785-8773
Fax Number
person
Provider Business Mailing Address Details
Address
10103 Dixie Hwy Apt 3
City
Clarkston
State
Michigan
Zip
48348-2457
Phone Number
248-785-8773
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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