MRS. KELLY SWANSON MA, LPCC, RPT
NPI 1578037594
Counselor - Mental Health in Pine City, MN
Active since January 12, 2019
About Mrs. Kelly Swanson Ma, Lpcc, Rpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY SWANSON MA, LPCC, RPT (NPI 1578037594) is an individual mental health provider in Pine City, Minnesota, licensed in Minnesota (CC02023) and active in the NPI registry since January 2019.
NPPES Registry Identity
NPI1578037594
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY SWANSONCredential: MA, LPCC, RPT
Location Address220 RAILROAD ST SEPine City, MN 55063-1540
Mailing Address2463 180th AveMora, MN 55051-7219 · (320) 291-7291
Phone(320) 629-7600
Fax(651) 925-0071
Sole ProprietorNo
Enumeration DateJanuary 12, 2019
✔ NPI 1578037594 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC02023
220 RAILROAD ST SE, Pine City, MN 55063
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Marriage & Family Therapist
220 RAILROAD ST SE, THERAPEUTIC SERVICES AGENCY INC
PINE CITY, MN 55063
PINE CITY, MN 55063
Marriage & Family Therapist
220 RAILROAD ST SE, THERAPEUTIC SERVICES AGENCY INC
PINE CITY, MN 55063
PINE CITY, MN 55063
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578037594, enumerated as an "individual" on January 12, 2019.
The provider is located at 220 RAILROAD ST SE PINE CITY, MN 55063 and the phone number is (320) 629-7600.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.