Individual provider · Type 1 NPI

Jay Jackson Swanson

Professional Counselor · Rockford, IL

NPI number 1225643174 Active

Practice location

6072 Brynwood Dr Ste 205
Rockford, IL 61114-5829

Call (815) 846-0684 Map

Fax (888) 827-2114

Mailing address

4432 Glenmore Rd
Rockton, IL 61072-3234

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180016565 (IL)

Professional Counselor: Definition to come...

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About NPI 1225643174

Jay Jackson Swanson's National Provider Identifier is 1225643174, issued on Sep 8, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Aug 15, 2025.