Jonathan Mccollum
Counselor Clinical Social Worker
210 Simmons St
Maryville
, Tennessee 37801-4750
Jonathan Mccollum
Counselor Clinical Social Worker
210 Simmons St
Maryville
, Tennessee 37801-4750
(865) 374-7129
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About
Features
Specialties
- Counselor
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Jonathan Mccollum
- 1451 Dowell Springs Blvd
- Knoxville, TN
- Zip : 37909-2441
- Fax : (865) 374-7129
- Phone : (865) 374-7123
Second Address
- Jonathan Mccollum
- 210 Simmons St
- Maryville, TN
- Zip : 37801-4750
- Fax : (865) 374-7129
- Phone : (865) 970-9800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| Y | 1041C0700X | Clinical Social Worker | 6020 | TN |
National Provider Identifier
| NPI | 1003002734 |
|---|---|
| Provider Name | Jonathan Mccollum |
| First Address | Knoxville, TN 37909-2441 |
| Second Address | Maryville, TN 37801-4750 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2007 |
| Last Update Date | 11/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.