Individual provider · Type 1 NPI

Kelly Swanson, MA, LPCC, RPT

Mental Health Counselor · Pine City, MN

NPI number 1578037594 Active

Practice location

220 Railroad St SE
Pine City, MN 55063-1540

Call (320) 629-7600 Map

Fax (651) 925-0071

Mailing address

2463 180th Ave
Mora, MN 55051-7219

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC02023 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1578037594

Kelly Swanson, MA, LPCC, RPT's National Provider Identifier is 1578037594, issued on Jan 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pine City, MN. The record was last updated on Jan 12, 2019.