Provider Demographics
NPI:1801550348
Name:SWAN, HARRIET STONE (LCPC)
Entity type:Individual
Prefix:
First Name:HARRIET
Middle Name:STONE
Last Name:SWAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:HALLIE
Other - Middle Name:
Other - Last Name:SWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:MT
Mailing Address - Zip Code:59071-0146
Mailing Address - Country:US
Mailing Address - Phone:406-426-1258
Mailing Address - Fax:
Practice Address - Street 1:780 EAST ROSEBUD RD
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:MT
Practice Address - Zip Code:59071
Practice Address - Country:US
Practice Address - Phone:406-426-1258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-29
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT50487101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional