Individual
JOHN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
340 17TH ST, ASHLAND, KY 41101-7628
(606) 420-4070
Mailing address
340 17TH ST, ASHLAND, KY 41101-7628
(606) 420-4070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
105807
KY
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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