NPI 1003002734

Jonathan McCollum, LCSW

Practitioner Clinical Social Worker Maryville, TN

Practice location

Address: 210 Simmons St, Maryville, TN 37801-4750
Phone: (865) 970-9800
Fax: (865) 374-7129
Mailing address: 1451 Dowell Springs Blvd, Knoxville, TN 37909-2441

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6020 (TN)

Other Social Worker providers in Tennessee →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Tennessee →

Registry record

NPI: 1003002734
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2007
Record last updated: 11 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.