Individual
MR. WAYNE C SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA, CDP
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 373-5031
Mailing address
6534 NE PLUM ST, SUQUAMISH, WA 98392-9709
(360) 990-8655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
LF61152760
WA
106H00000X
Marriage & Family Therapist
MG60821517
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MG60821517
—
WA
Enumeration date
08/14/2018
Last updated
06/24/2021
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