| Adult Youth @ Swanson Counseling Llc | |
|
803 W 4th St Ste D Pueblo CO 81003-2392 | |
| (719) 225-8639 | |
| Not Available |
| Full Name | Adult Youth @ Swanson Counseling Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 803 W 4th St Ste D, Pueblo, Colorado |
| Authorized Official Name and Position | Timothy Swanson (OWNER) |
| Authorized Official Contact | 7196414917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Youth @ Swanson Counseling Llc 803 W 4th St Ste D Pueblo CO 81003-2392 Ph: () - | Adult Youth @ Swanson Counseling Llc 803 W 4th St Ste D Pueblo CO 81003-2392 Ph: (719) 225-8639 |
| NPI Number | 1730699984 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730699984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACB7020 (Colorado) | Primary |
| 101YM0800X | Counselor - Mental Health | CSWOO923464 (Colorado) | Secondary |
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