person
Gwendolyn Swan, EDD
Addiction (Substance Use Disorder) Counselor in Flagstaff, Arizona
NPI 1871505073

Gwendolyn Swan is an Addiction (Substance Use Disorder) Counselor based in Flagstaff, AZ and is specialized in Addiction (Substance Use Disorder). Gwendolyn Swan practices in Flagstaff, AZ and has the professional credentials of EDD. The NPI Number for Gwendolyn Swan is 1871505073 and holds a License No. LISAC0743 (Arizona).

The current practice location address for Gwendolyn Swan is 2187 N Vickey St, Flagstaff, AZ and can be reached out via phone at 928-714-6401.

Location: 2187 N Vickey St, Flagstaff, AZ, 86004-6106
person
Provider Profile Details
NPI Number
1871505073
Provider Name
Gwendolyn Swan
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
2187 N Vickey St, Flagstaff, AZ, 86004-6106
Phone Number
928-714-6401
Fax Number
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2187 N Vickey St
City
State
Zip
86004-6106
Phone Number
928-714-6401
Fax Number
person
Provider Business Mailing Address Details
Address
2187 N Vickey St
City
State
Zip
86004-6106
Phone Number
928-714-6401
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC0743 (Arizona)
Definition
Definition to come...
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