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Organization

ADULT YOUTH AT SWANSON COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY SWANSON LCSW LAC (CEO)
(719) 358-6559
Entity
Organization

Contact information

Practice address
1826 E PLATTE AVE STE 102, COLORADO SPRINGS, CO 80909-5738
(719) 358-6559
Mailing address
1826 E PLATTE AVE STE 102, COLORADO SPRINGS, CO 80909-5738
(719) 358-6559
(719) 418-3728

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000210533
CO
Enumeration date
10/11/2022
Last updated
03/09/2023
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