Provider Demographics
NPI:1154838597
Name:SWILLEY, CHRISTINE L (LMFT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:SWILLEY
Suffix:
Gender:
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:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-0156
Mailing Address - Country:US
Mailing Address - Phone:801-897-4370
Mailing Address - Fax:
Practice Address - Street 1:1198 MELODY LN
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-5100
Practice Address - Country:US
Practice Address - Phone:801-897-4370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-08
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41990106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty