Provider Demographics
NPI:1366670176
Name:SWINTON, JONATHAN (PHD, LMFT, MEDFT)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:SWINTON
Suffix:
Gender:M
Credentials:PHD, LMFT, MEDFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SEALASKA PLZ STE 303
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1245
Mailing Address - Country:US
Mailing Address - Phone:907-531-7372
Mailing Address - Fax:907-600-4952
Practice Address - Street 1:1 SEALASKA PLZ STE 303
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1245
Practice Address - Country:US
Practice Address - Phone:907-209-5160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK168942106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist