Individual
STACIA N SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PPC
Contact information
Practice address
136 W 21ST AVE, TORRINGTON, WY 82240-2721
(307) 532-2119
Mailing address
423 W 38TH ST APT 3, SCOTTSBLUFF, NE 69361-4765
(308) 641-9885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1428
WY
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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