Mccollum, Jonathan

Mccollum, Jonathan is an individual health care provider with primary practice located at 210 Simmons St , Maryville TN 37801-4750. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mccollum, Jonathan can be contacted via phone (865) 970-9800.

Contact Information

Primary practice address
210 Simmons St Maryville TN 37801-4750
Phone: (865) 970-9800
Fax: (865) 374-7129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6020 Tennessee

Profile Details

NPI number 1003002734
LBN Legal business name Mccollum, Jonathan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2007
Last updated Jun 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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