Doctor Name: | JOHN B SWAIN |
NPI Number: | 1154466225 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | CC1087 |
Business Practice Address: | 1909 Skyline Way Suite 103 Anacortes, WA - 982212992 |
Business Phone Number: | 3608738662 |
Business Fax Number: | 2074331133 |
Mailing Address: | 1909 Skyline Way, Suite 103 ANACORTES |
State: | WA |
Postal Code: | 982212992 |
Phone Number: | 3608738662 |
Fax Number: | 2074331133 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 01/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CC1087 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |