Individual
SHANNON D SWARTHOUT
Active
Individual
SHANNON D SWARTHOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303820
MN
324500000X
Substance Abuse Rehabilitation Facility
Primary
303820
MN
Other
Enumeration date
07/10/2014
Last updated
05/22/2025
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