Individual
DAVID G SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1124 N COTNER BLVD, LINCOLN, NE 68505-1834
(402) 435-3165
(402) 435-0430
Mailing address
1124 N COTNER BLVD, LINCOLN, NE 68505-1834
(402) 435-3165
(402) 435-0430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1009
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009
STATE OF NEBRASKA
NE
Enumeration date
12/28/2016
Last updated
12/28/2016
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