Individual
TIMOTHY L SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
202 E MCDOWELL RD, SUITE 251, PHOENIX, AZ 85004-4588
(480) 703-7490
Mailing address
PO BOX 36552, PHOENIX, AZ 85067-6552
(480) 703-7490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10328
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-10554
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LISAC-10328
SUBSTANCE ABUSE COUN
AZ
01
—
LPC-10554
PROFESSIONAL COUNSELOR
AZ
Enumeration date
07/19/2006
Last updated
09/11/2025
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