Individual
JASON DAVID SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLMHC, PLMHP
Contact information
Practice address
1000 N BROADWAY ST, RED OAK, IA 51566-1454
(712) 581-7900
Mailing address
9224 RAVEN OAKS DR, OMAHA, NE 68152-1711
(402) 321-2647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100428
IA
101YM0800X
Mental Health Counselor
12149
NE
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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