| NPI | 1912289174 |
|---|---|
| Former Name | MONA FAYE SWAFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 13157) |
| Additional Taxonomies | 172A00000X Driver |
| 347C00000X Private Vehicle (Licence: TX 06046953) | |
| 172V00000X Community Health Worker (Licence: TX 1944) | |
| 174H00000X Health Educator (Licence: TX 1944) | |
| 251S00000X Community/Behavioral Health | |
| 101Y00000X Counselor (Licence: TX 13157) | |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2015-10-01 |