MEDICARE: MICHELLE LEANNE SWENSON MA LMHC

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
1	101YP2500X	Professional Counselor	60247271	WA

General Provider Information

NPI Number	:	1962613992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LEANNE SWENSON MA LMHC

Provider Business Mailing Address
First Line	:	1644 PLAZA WAY # 325
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-4325
Country	:	US
Telephone Number	:	509-713-0555
Fax Number	:	509-231-8555

Provider Business Practice Location Address
First Line	:	1644 PLAZA WAY # 325
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-4325
Country	:	US
Telephone Number	:	509-713-0555
Fax Number	:	509-231-8555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	04/17/2026

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