Individual
MRS. LISA MICHELE SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6076 FRANCONIA RD STE D, ALEXANDRIA, VA 22310-1768
(202) 380-8706
Mailing address
1949 4TH ST NE, WASHINGTON, DC 20002-1211
(202) 380-8706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CACII1170
DC
101YP2500X
Professional Counselor
Primary
0701008307
VA
101YP2500X
Professional Counselor
PRC14579
DC
Other
Enumeration date
11/19/2015
Last updated
05/13/2022
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