person
Mrs. Kambi Ann Swan, LPC
Mental Health Counselor in Statesville, North Carolina
NPI 1235271503

Kambi Ann Swan is a Mental Health Counselor based in Statesville, NC and is specialized in Mental Health. Kambi Ann Swan practices in Statesville, NC and has the professional credentials of LPC. The NPI Number for Kambi Ann Swan is 1235271503 and holds a License No. 4881 (North Carolina).

The current practice location address for Kambi Ann Swan is 1210 Davie Ave, Statesville, NC and can be reached out via phone at 704-437-1079 and via fax at 704-870-3122. You can also correspond with Kambi Ann Swan through the mailing address at 136 TREEBARK RD, STATESVILLE, NC - 28625-1234 (mailing address contact number: 704-437-1079).

Location: 1210 Davie Ave, Statesville, NC, 28625-1234
person
Provider Profile Details
NPI Number
1235271503
Provider Name
Kambi Ann Swan
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1210 Davie Ave, Statesville, NC, 28625-1234
Phone Number
704-437-1079
Fax Number
704-870-3122
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
139TW 01 NC BCBS
11612989 01 NC CAQH NUMBER
6102677 05 NC
E3125 01 NC MEDCOST
institution
Provider Business Practice Location Address Details
Address
1210 Davie Ave
City
State
Zip
28677-3512
Phone Number
704-437-1079
Fax Number
704-870-3122
person
Provider Business Mailing Address Details
Address
136 Treebark Rd
City
State
Zip
28625-1234
Phone Number
704-437-1079
Fax Number
704-870-3312
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4881 (North Carolina)
Definition
Definition to come...
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