MEDICARE: MRS. JAMIE LYNN SWANSON MS,LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2468	OK

General Provider Information

NPI Number	:	1093913287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMIE LYNN SWANSON MS,LPC

Provider Business Mailing Address
First Line	:	3161 HOSKINS RD
Second Line	:
City	:	FORT SILL
State	:	OK
Zip	:	73503-4462
Country	:	US
Telephone Number	:	580-442-8792
Fax Number	:

Provider Business Practice Location Address
First Line	:	3161 HOSKINS RD
Second Line	:
City	:	FORT SILL
State	:	OK
Zip	:	73503-4462
Country	:	US
Telephone Number	:	580-442-8792
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	02/24/2025

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