Individual
MR. KEVIN CLAY SWAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LMFT,LCSW,LMHC
Contact information
Practice address
5150 E STOP 11 RD STE 14, INDIANAPOLIS, IN 46237-8629
(317) 409-3128
(317) 889-4499
Mailing address
5150 E STOP 11 RD STE 14, INDIANAPOLIS, IN 46237-8629
(317) 409-3128
(317) 889-4499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000420A
IN
1041C0700X
Clinical Social Worker
34002741A
IN
106H00000X
Marriage & Family Therapist
35000135A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34002741A
LCSW LICENSE
IN
01
—
35000135A
LMFT LICENSE
IN
01
—
39000420A
LMHC LICENSE
IN
Enumeration date
10/18/2006
Last updated
12/23/2013
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