Individual
MRS. ANDREA LYNN SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-IT
Contact information
Practice address
10624 N PORT WASHINGTON RD STE 110, MEQUON, WI 53092-5049
(262) 600-3001
(262) 394-0642
Mailing address
10624 N PORT WASHINGTON RD STE 110, MEQUON, WI 53092-5049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8408-226
WI
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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