Provider Demographics
NPI:1477890226
Name:SWENSON, MEGAN JUNE (MA, LPC, LAC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:JUNE
Last Name:SWENSON
Suffix:
Gender:F
Credentials:MA, LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5324 197TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MN
Mailing Address - Zip Code:55092-8511
Mailing Address - Country:US
Mailing Address - Phone:720-505-0238
Mailing Address - Fax:
Practice Address - Street 1:7535 E HAMPDEN AVE # 407
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4838
Practice Address - Country:US
Practice Address - Phone:303-578-2702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000319101YA0400X
COLPC.0011989101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
COLPC.0011989OtherLICENSED PROFESSIONAL COUNSELOR