Individual
COURTNEY JONES SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
248 E CAPITOL ST, 840 TRUST MARK BLDG, JACKSON, MS 39201-2503
(800) 632-6074
Mailing address
856 S RIDGE RD, STARKVILLE, MS 39759-9623
(662) 615-6083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C5826
MS
1041C0700X
Clinical Social Worker
Primary
C5826
MS
Other
Enumeration date
08/29/2006
Last updated
08/20/2007
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