Individual
KELLY ANN SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
930 N 4TH ST, LAS VEGAS, NV 89101-1001
(702) 383-4044
(702) 385-3881
Mailing address
930 N 4TH ST, LAS VEGAS, NV 89101-1001
(702) 383-4044
(702) 385-3881
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00370-C
NV
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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