| Doctor Name: | DONNA R. SWANSON |
| NPI Number: | 1023261443 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 178.000823 |
| Business Practice Address: | 521 Sixth St Racine, WI - 534031117 |
| Business Phone Number: | 2628982940 |
| Business Fax Number: | 2628981772 |
| Mailing Address: | 521 Sixth St, RACINE |
| State: | WI |
| Postal Code: | 534031117 |
| Phone Number: | 2628982940 |
| Fax Number: | 2628981772 |
| NPI Enumeration Date: | 10/29/2008 |
| NPI Last Update Date: | 07/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 178.000823 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |