Provider Demographics
NPI:1588726418
Name:SWANSON-MOTEN, YULONDA (LCMFT)
Entity type:Individual
Prefix:MS
First Name:YULONDA
Middle Name:
Last Name:SWANSON-MOTEN
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8014 STATE LINE RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3710
Mailing Address - Country:US
Mailing Address - Phone:816-519-8524
Mailing Address - Fax:816-817-0060
Practice Address - Street 1:8014 STATE LINE RD
Practice Address - Street 2:SUITE 114
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3710
Practice Address - Country:US
Practice Address - Phone:816-519-8524
Practice Address - Fax:816-817-0060
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCMFT 315106H00000X
MO2005001134106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist