Provider Demographics
NPI:1942344353
Name:SWANIGER, JAMES R (LMFT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:SWANIGER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2192 MARTIN
Mailing Address - Street 2:SUITE 150
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1428
Mailing Address - Country:US
Mailing Address - Phone:949-760-7171
Mailing Address - Fax:
Practice Address - Street 1:2192 MARTIN
Practice Address - Street 2:SUITE 150
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1428
Practice Address - Country:US
Practice Address - Phone:949-760-7171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 36314106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist