person
Shannon Swarthout, LADC
Substance Abuse Rehabilitation Facility in Saint Paul, Minnesota
NPI 1275949299

Shannon Swarthout is a Substance Abuse Rehabilitation Facility based in Maplewood, MN. Shannon Swarthout practices in Saint Paul, MN and has the professional credentials of LADC. The NPI Number for Shannon Swarthout is 1275949299 and holds a License No. 303820 (Minnesota).

The current practice location address for Shannon Swarthout is 135 Colorado St E, Saint Paul, MN and can be reached out via phone at 612-454-2131 and via fax at 651-489-6458.

Location: 135 Colorado St E, Saint Paul, MN, 55117-2168
person
Provider Profile Details
NPI Number
1275949299
Provider Name
Shannon Swarthout
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
135 Colorado St E, Saint Paul, MN, 55117-2168
Phone Number
612-454-2131
Fax Number
651-489-6458
Provider Enumeration Date
07/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
135 Colorado St E
City
State
Zip
55107-2244
Phone Number
612-454-2131
Fax Number
651-489-6458
person
Provider Business Mailing Address Details
Address
135 Colorado St E
City
State
Zip
55107-2244
Phone Number
612-454-2131
Fax Number
651-489-6458
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
303820 (Minnesota)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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