Individual
LAUREN SHREVE SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCAS, LPCA
Contact information
Practice address
600 LYNNDALE CT SUITE F, GREENVILLE, NC 27858-4196
(252) 353-8001
Mailing address
600-F LYNNDALE CT, GREENVILLE, NC 27858-4196
(252) 353-8001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-2853
NC
101YM0800X
Mental Health Counselor
A9691
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301656
—
NC
Enumeration date
07/12/2012
Last updated
07/14/2014
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