Individual
MS. LAURIE ANN SWANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CADAC
Contact information
Practice address
2266 SOUTH DOBSON ROAD, MESA, AZ 85202-6488
(602) 628-8580
(480) 775-7599
Mailing address
2266 SOUTH DOBSON ROAD, CHANDLER, AZ 85202
(602) 628-8580
(480) 775-7599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1446
AZ
101YP2500X
Professional Counselor
Primary
LC1901
AZ
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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