Provider Demographics
NPI:1275115883
Name:DR. SWINTON LLC
Entity Type:Organization
Organization Name:DR. SWINTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWINTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT, MEDFT
Authorized Official - Phone:907-531-7372
Mailing Address - Street 1:1 SEALASKA PLZ STE 303
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1245
Mailing Address - Country:US
Mailing Address - Phone:907-531-7372
Mailing Address - Fax:907-600-4592
Practice Address - Street 1:1 SEALASKA PLZ STE 303
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1245
Practice Address - Country:US
Practice Address - Phone:907-209-5160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty