Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON D SWARTHOUT, LADC
Active Sole ProprietorSHANNON D SWARTHOUT, LADC is a Substance Abuse Rehabilitation Facility healthcare provider located in SAINT PAUL, Minnesota. NPI 1275949299 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · SAINT PAUL, MN
Registration Details
- NPI Number
- 1275949299
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2014 (11.91143500817 yrs)
- Last Updated
- May 22, 2025
- Licenses
-
303820 (MN)303820 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
135 COLORADO ST ESAINT PAUL, MN, 551072244Browse MN providers · Browse ZIP 55107
- Phone
- 6124542131
- Fax
- 6514896458
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.