Provider Demographics
NPI:1861563322
Name:TOWNSEND, SIRINA MARIA (MS)
Entity type:Individual
Prefix:MRS
First Name:SIRINA
Middle Name:MARIA
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:SIRINA
Other - Middle Name:MARIA
Other - Last Name:WARFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4742 EL REY AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-6423
Mailing Address - Country:US
Mailing Address - Phone:510-505-9716
Mailing Address - Fax:
Practice Address - Street 1:40950 CHAPEL WAY
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-4236
Practice Address - Country:US
Practice Address - Phone:510-226-6180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 48562106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist