Individual
JILLIAN NICOLE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 CORTLAND ST, HIGHLAND PARK, MI 48203-3432
(313) 912-1440
Mailing address
205 CORTLAND ST, HIGHLAND PARK, MI 48203-3432
(313) 912-1440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/06/2008
Last updated
10/08/2010
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