Individual
MATTHEW THOMAS SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LCPAT
Contact information
Practice address
260 GATEWAY DR, SUITE 3-4B, BEL AIR, MD 21014-4268
(410) 838-9558
(410) 838-9599
Mailing address
260 GATEWAY DR, SUITE 3-4B, BEL AIR, MD 21014-4268
(410) 838-9558
(410) 838-9599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ATC009
MD
101YP2500X
Professional Counselor
Primary
LC2252
MD
Other
Enumeration date
01/02/2007
Last updated
02/24/2017
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