Provider Demographics
NPI:1891956017
Name:SWAIN, BETH L (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:L
Last Name:SWAIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:BETH
Other - Last Name:LESLIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:605 UNION STREET NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301
Mailing Address - Country:US
Mailing Address - Phone:971-207-3680
Mailing Address - Fax:503-339-9585
Practice Address - Street 1:605 UNION STREET NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:971-207-3680
Practice Address - Fax:503-339-9585
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2022-07-21
Deactivation Date:2014-09-09
Deactivation Code:
Reactivation Date:2017-07-20
Provider Licenses
StateLicense IDTaxonomies
ORC4468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health