| Doctor Name: | RICHARD MICHAEL SWAINE |
| NPI Number: | 1073829669 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA LPC |
| License Number: | 0701004894 |
| Business Practice Address: | 354 Mclaws Cir Suite 3 Williamsburg, VA - 231856346 |
| Business Phone Number: | 7573455802 |
| Business Fax Number: | 7573455725 |
| Mailing Address: | 6517 Lakeside Dr, QUINTON |
| State: | VA |
| Postal Code: | 231411110 |
| Phone Number: | 7573455802 |
| Fax Number: | 7573455725 |
| NPI Enumeration Date: | 08/20/2010 |
| NPI Last Update Date: | 08/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0701004894 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |