Individual
MRS. AUDRA A. SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA ED, LPCC-S, LICDC
Contact information
Practice address
4450 BELDEN VILLAGE ST NW STE 606, CANTON, OH 44718-2552
(330) 305-9696
(330) 305-9292
Mailing address
4450 BELDEN VILLAGE ST NW STE 606, CANTON, OH 44718-2552
(330) 305-9696
(303) 059-2923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
991462- LICDC
—
101YP2500X
Professional Counselor
Primary
E2055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265743991
NPI
OH
Enumeration date
08/12/2006
Last updated
03/18/2021
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