Provider Demographics
NPI:1154796241
Name:SWANSON, DAISY (MA LMFTA)
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:
Last Name:SWANSON
Suffix:
Gender:F
Credentials:MA LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W FRANCIS AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-6413
Mailing Address - Country:US
Mailing Address - Phone:509-821-0947
Mailing Address - Fax:
Practice Address - Street 1:515 W. FRANCIS AVE.
Practice Address - Street 2:SUITE #8
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208
Practice Address - Country:US
Practice Address - Phone:509-821-0947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG6069340101YM0800X
WAMG 60669340106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health