Provider Demographics
NPI:1053127829
Name:TOWNSEND, HEATHER YOUNG (CSWA, CADC1)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:YOUNG
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:CSWA, CADC1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 ARCHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-1568
Mailing Address - Country:US
Mailing Address - Phone:541-653-2370
Mailing Address - Fax:
Practice Address - Street 1:1800 CENTENNIAL BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-4379
Practice Address - Country:US
Practice Address - Phone:541-747-4300
Practice Address - Fax:541-744-6116
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA158341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical