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NPI Code Detail

MEDICARE: REBECCA SWANNEY LPC

MEDICARE: REBECCA SWANNEY LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor178.020238IL

General Provider Information

NPI Number : 1932940012
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA SWANNEY LPC
Provider Business Mailing Address
First Line : 1250 W BRYN MAWR AVE APT 2N
Second Line :
City : CHICAGO
State : IL
Zip : 60660-4284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 47 W POLK ST STE 325
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2175
Country : US
Telephone Number : 312-667-3884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2024
Last Update Date : 06/04/2024

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Directions to “ REBECCA SWANNEY LPC” Practice Location

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