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Individual
JESSICA L SWAN
Active
Individual
JESSICA L SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCJ, LSATP, MAC, CAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000496
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0020871
CO
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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