Most Relevant Information
Provider Data
| NPI Number: | 1003590068 |
| Provider Name: | SHAWN ERIC SWAFFORD ALC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | ALC04401 |
Most Important Dates
| Enumeration Date: | 06/12/2023 |
| Last Updated: | 06/12/2023 |
Provider Practice Location
4820 UNIVERSITY DR NW
HUNTSVILLE
AL
358161867
Practice Location Phone/Fax
| Phone: | 2568504091 |
| Fax: |
Provider Mailing Location
4820 UNIVERSITY DR NW STE 13
HUNTSVILLE
AL
358161867
Provider Mailing Phone/Fax
| Phone: | 2568504091 |
| Fax: |