Provider Demographics
NPI:1093398414
Name:SWANSON, ASHLEY (MS, NLC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SWANSON
Suffix:
Gender:F
Credentials:MS, NLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 W HAMPDEN AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2130
Mailing Address - Country:US
Mailing Address - Phone:720-734-5494
Mailing Address - Fax:
Practice Address - Street 1:770 W HAMPDEN AVE STE 215
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2130
Practice Address - Country:US
Practice Address - Phone:720-734-5494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty