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NPI Code Detail

MEDICARE: MRS. KELSEY LYNN SWEGER LMFT

MEDICARE: MRS. KELSEY LYNN SWEGER LMFT
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2106H00000XMarriage & Family Therapist
3101Y00000XCounselor

General Provider Information

NPI Number : 1326379512
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELSEY LYNN SWEGER LMFT
Provider Business Mailing Address
First Line : 2728 NW 47TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-8249
Country : US
Telephone Number : 405-880-7998
Fax Number :
Provider Business Practice Location Address
First Line : 5900 MOSTELLER DR UNIT 3
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4640
Country : US
Telephone Number : 405-849-6284
Fax Number : 405-608-8812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2010
Last Update Date : 06/17/2024

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