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NPI Code Detail

MEDICARE: DEANNA RENEE SWANSON

MEDICARE: DEANNA RENEE SWANSON
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
1106H00000XMarriage & Family Therapist155142CA
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1629739230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA RENEE SWANSON
Provider Business Mailing Address
First Line : 3413 STAGE COACH DR
Second Line :
City : LAFAYETTE
State : CA
Zip : 94549-1817
Country : US
Telephone Number : 925-405-7900
Fax Number :
Provider Business Practice Location Address
First Line : 1470 MARIA LN STE 240
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94596-5399
Country : US
Telephone Number : 925-391-0733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2022
Last Update Date : 06/21/2025

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Directions to “ DEANNA RENEE SWANSON ” Practice Location

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