Individual
MR. JAY JACKSON SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6072 BRYNWOOD DR STE 205, ROCKFORD, IL 61114-5829
(815) 846-0684
(888) 827-2114
Mailing address
4432 GLENMORE RD, ROCKTON, IL 61072-3234
(815) 721-0189
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180016565
IL
Other
Enumeration date
09/08/2020
Last updated
08/15/2025
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