Provider Demographics
NPI:1609167964
Name:SWANSON, NANCY L (LMFT #32859)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:SWANSON
Suffix:
Gender:F
Credentials:LMFT #32859
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 E. WARNER STREET
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:91301
Mailing Address - Country:US
Mailing Address - Phone:818-749-5724
Mailing Address - Fax:
Practice Address - Street 1:1317 DEL NORTE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010
Practice Address - Country:US
Practice Address - Phone:844-687-8742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32859106H00000X
CAMFT32859106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist