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1174715981 NPI number — CYNTHIA MARIE SWALM CADC-II A3620592

NPI Number: 1174715981
Health Care Provider/Practitioner: CYNTHIA MARIE SWALM CADC-II A3620592

Information about “1174715981” NPI (CYNTHIA MARIE SWALM CADC-II A3620592) exists in 1174715981 in HTML format HTML  |  1174715981 in plain Text format TXT  |  1174715981 in PDF (Portable Document Format) PDF  |  1174715981 in an XML format XML  formats.

NPI Number : 1174715981 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174715981",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SWALM",
    "FirstName": "CYNTHIA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CADC-II   A3620592",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SWALM",
    "OtherFirstName": "CINDI",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MA.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1021 FREMONT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTH LAKE TAHOE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "96150-8136",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-541-2445",
    "MailingAddressFaxNumber": "530-541-0517",
    "FirstLinePracticeLocationAddress": "1021 FREMONT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTH LAKE TAHOE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "96150-8136",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "530-541-2445",
    "PracticeLocationAddressFaxNumber": "530-541-0517",
    "EnumerationDate": "08/15/2007",
    "LastUpdateDate": "08/15/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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