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General NPI Number Information
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NPI Number | 1598196065
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Entity Type | Organization
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Legal Business Name | MICHELLE SWANSON
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 6601 CYPRESSWOOD DR SUITE 114
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City | SPRING
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State | TX
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Zip | 77379-7702
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Country | US
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Telephone | 832-687-1671
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Fax |
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Provider Business Mailing Address
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Address Line | 6601 CYPRESSWOOD DR SUITE 114
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City | SPRING
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State | TX
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Zip | 77379-7702
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Country | US
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Telephone | 832-687-1671
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. MICHELLE LYNN SWANSON
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Credential | L.C.D.C
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Telephone | 832-687-1671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | TX
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