Individual provider · Type 1 NPI

Johnathan Jackson, BS

Counselor · Carbondale, IL

NPI number 1144961806 Active

Practice location

2411 S Illinois Ave
Carbondale, IL 62903-5913

Call (855) 608-3560 Map

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144961806

Johnathan Jackson, BS's National Provider Identifier is 1144961806, issued on Apr 6, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Carbondale, IL. The record was last updated on Apr 6, 2022.