person
Mr. Jay Jackson Swanson
Professional Counselor in Rockford, Illinois
NPI 1225643174

Jay Jackson Swanson is a Professional Counselor based in Rockton, IL and is specialized in Professional. Jay Jackson Swanson practices in Rockford, IL. The NPI Number for Jay Jackson Swanson is 1225643174 and holds a License No. 178017319 (Illinois).

The current practice location address for Jay Jackson Swanson is 6072 Brynwood Dr Ste 205, Rockford, IL and can be reached out via phone at 815-846-0684 and via fax at 888-827-2114.

Location: 6072 Brynwood Dr Ste 205, Rockford, IL, 61072-3234
person
Provider Profile Details
NPI Number
1225643174
Provider Name
Jay Jackson Swanson
Credential
Provider Entity Type
Individual
Gender
Male
Address
6072 Brynwood Dr Ste 205, Rockford, IL, 61072-3234
Phone Number
815-846-0684
Fax Number
888-827-2114
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6072 Brynwood Dr Ste 205
City
State
Zip
61114-5829
Phone Number
815-846-0684
Fax Number
888-827-2114
person
Provider Business Mailing Address Details
Address
6072 Brynwood Dr Ste 205
City
State
Zip
61114-5829
Phone Number
815-846-0684
Fax Number
888-827-2114
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178017319 (Illinois)
Definition
Definition to come...
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