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Individual

CRYSTAL SWENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1525 E 55TH ST, CHICAGO, IL 60615-5512
(773) 388-1600
(773) 388-8936
Mailing address
1025 W SUNNYSIDE AVE STE 100, CHICAGO, IL 60640-5684
(773) 388-1600
(773) 388-8936

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.018082
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178.018082
IL
Enumeration date
06/14/2022
Last updated
06/14/2022
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