Provider Demographics
NPI:1649648072
Name:SWINDLER, JEANNETTE K (LPC, LMAC)
Entity type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:K
Last Name:SWINDLER
Suffix:
Gender:F
Credentials:LPC, LMAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 N TOPEKA AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-2413
Mailing Address - Country:US
Mailing Address - Phone:316-263-6941
Mailing Address - Fax:316-263-5259
Practice Address - Street 1:439 N MCLEAN BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-5914
Practice Address - Country:US
Practice Address - Phone:316-263-6941
Practice Address - Fax:316-263-5259
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1412101YA0400X, 101YA0400X
KS2902101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)