JONATHAN MCCOLLUM

MARYVILLE, TN
NPI1003002734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: TN  6020)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2007-09-17
Last Update Date2014-06-11
Business Address
JONATHAN MCCOLLUM LCSW
210 SIMMONS ST
MARYVILLE, TN 37801-4750
Phone number: 865-970-9800
Mailing Address
JONATHAN MCCOLLUM LCSW
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909-2441
Phone number: 865-374-7123