Individual
JENNI L SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC
Contact information
Practice address
2220 FLORENCE AVE, KINGMAN, AZ 86401-4827
(505) 927-6011
Mailing address
2220 FLORENCE AVE, KINGMAN, AZ 86401-4827
(505) 927-6011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0135131
NM
101YM0800X
Mental Health Counselor
0158061
NM
101YM0800X
Mental Health Counselor
Primary
LPC-17322
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85521876
—
NM
Enumeration date
10/28/2008
Last updated
06/17/2024
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