IndividualActive
Edwin Swaray, MA, LADC, CBIS
NPI 1770086043 · Addiction (Substance Use Disorder) Counselor · Champlin, MN
Provider details
- NPI number
- 1770086043
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LADC, CBIS
- Sex
- Male
- Sole proprietor
- No
- License
- 303810 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
11112 Hillsboro Ave N
Champlin, MN 55316-3128
Phone: (763) 300-0289
Approximate (ZIP-level) locationGet directions
Mailing address
11112 Hillsboro Ave N
Champlin, MN 55316-3128
Registry dates
- Enumerated
- 2018-03-13
- Last updated
- 2018-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.