Individual provider · Type 1 NPI
Jeremey Wayne Swanson, LADC
Counselor · Woodbury, MN
NPI number
1174802979
Active
Practice location
7700 Hudson Rd, Suite 600
Woodbury, MN 55125-1490
Fax (651) 731-6986
Mailing address
37 Windsor Wood Path
Hudson, WI 54016-7772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 302519 (MN) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1174802979
Jeremey Wayne Swanson, LADC's National Provider Identifier is 1174802979, issued on Aug 10, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Woodbury, MN. The record was last updated on Aug 10, 2011.