Individual
KAYLA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
5005 UNIVERSITY AVE STE 100, MADISON, WI 53705-5400
(608) 233-2100
Mailing address
4829 SHEBOYGAN AVE APT 208, MADISON, WI 53705-2956
(262) 443-2722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7855-226
WI
Other
Enumeration date
06/12/2024
Last updated
06/19/2024
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