Individual
SHANLEY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LAC
Contact information
Practice address
35401 MISSION DR, SAINT IGNATIUS, MT 59865-7791
(406) 745-3525
Mailing address
PO BOX 33, ARLEE, MT 59821-0033
(406) 210-5136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3402
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-11582
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326464397
—
MT
Enumeration date
03/13/2014
Last updated
03/14/2024
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