Provider Demographics
NPI:1417799768
Name:LAMB-SWANIGAN, CALEB (MA, LPC)
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:
Last Name:LAMB-SWANIGAN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2738 NW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-3941
Mailing Address - Country:US
Mailing Address - Phone:816-377-4897
Mailing Address - Fax:
Practice Address - Street 1:616 NW 21ST ST STE 116
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-1861
Practice Address - Country:US
Practice Address - Phone:816-377-4897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-08
Last Update Date:2024-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12006101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health