Healthcare Provider Details

I. General information

NPI: 1326470584
Provider Name (Legal Business Name): MEGAN REBECCA SWENSETH LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 12/01/2024
Certification Date: 12/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 5TH AVE NE
DEVILS LAKE ND
58301-2202
US

IV. Provider business mailing address

817 5TH AVE NE
DEVILS LAKE ND
58301-2202
US

V. Phone/Fax

Practice location:
  • Phone: 701-237-1533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number932-1-1-18-559
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: