Provider Demographics
NPI:1770642738
Name:SWANSON, CLAUDIA JO (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:JO
Last Name:SWANSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11429 ARTESIA WAY
Mailing Address - Street 2:
Mailing Address - City:MORONGO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92256-9517
Mailing Address - Country:US
Mailing Address - Phone:760-363-8199
Mailing Address - Fax:760-363-6272
Practice Address - Street 1:48113 JACKSON ST.
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201
Practice Address - Country:US
Practice Address - Phone:760-863-7718
Practice Address - Fax:760-863-7660
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40163106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist