Provider Demographics
NPI:1093602583
Name:SWINK, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:SWINK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3898 JACOB LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-4435
Mailing Address - Country:US
Mailing Address - Phone:805-427-4505
Mailing Address - Fax:
Practice Address - Street 1:3898 JACOB LAKE CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-4435
Practice Address - Country:US
Practice Address - Phone:805-427-4505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor