Individual
MR. HOLLIS STEPHEN SWINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ICCS, LCPC, CAAD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14592
IL
101YP2500X
Professional Counselor
Primary
180-003697
IL
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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