Individual
TAWNYA SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3970 W 24TH ST STE 206, YUMA, AZ 85364-9255
(928) 373-8041
(928) 259-2501
Mailing address
3970 W 24TH ST STE 206, YUMA, AZ 85364-9255
(928) 373-8041
(928) 259-2501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-17468
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAC-17468
AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
10/22/2020
Last updated
10/22/2020
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