Individual
LISA WHITNEY SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2537 ASPEN AVE NW, ALBUQUERQUE, NM 87104-1919
(505) 206-5460
Mailing address
3301R COORS BLVD NW # 265, ALBUQUERQUE, NM 87120-1229
(505) 459-9301
(505) 884-1081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0193841
NM
101YM0800X
Mental Health Counselor
Primary
CCMH0193841
NM
101YM0800X
Mental Health Counselor
T-0134911
NM
Other
Enumeration date
11/01/2010
Last updated
11/08/2024
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