Individual
KENNETH D SWAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHT II
Contact information
Practice address
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2874
(907) 729-5020
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-6353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AK
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH9780
—
AK
Enumeration date
08/07/2015
Last updated
04/03/2024
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