Individual
SWANY BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
804 STAMPER RD, SUITE 101, FAYETTEVILLE, NC 28303-4379
(910) 323-2873
(910) 323-1355
Mailing address
804 STAMPER RD, SUITE 101, FAYETTEVILLE, NC 28303-4379
(910) 323-2873
(910) 323-1355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NCLPC4305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCLPC4305
LPC
NC
Enumeration date
12/27/2006
Last updated
07/08/2007
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