Swanson, Wayne C
Swanson, Wayne C is an sole proprietor health care provider with primary practice located at 5455 Almira Dr Ne , Bremerton WA 98311-8330. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Swanson, Wayne C can be contacted via phone (360) 373-5031.Contact Information
Primary practice address
5455 Almira Dr Ne
Bremerton WA 98311-8330
Phone: (360) 373-5031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MG60821517 | Washington |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LF61152760 | Washington |
Profile Details
| NPI number | 1235619859 |
|---|---|
| LBN Legal business name | Swanson, Wayne C |
| Credentials | LMFTA, CDP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2018 |
| Last updated | Jun 24th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235619859 | NPPES |
| Washington | MEDICAID | MG60821517 |
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