Individual provider · Type 1 NPI

Nichole Jeters, LCPC

Mental Health Counselor · Carbondale, IL

NPI number 1174770648 Active

Practice location

405 W Jackson St
Carbondale, IL 62901-1462

Call (618) 549-0721 Map

Fax (618) 457-0469

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

  • 201 S 14th St, Herrin, IL 62948-3631 · (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 · (618) 684-3156

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180009521 (IL)
Professional Counselor 101YP2500X180009521 (IL)

Mental Health Counselor: Definition to come...

161 other providers at this address

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About NPI 1174770648

Nichole Jeters, LCPC's National Provider Identifier is 1174770648, issued on Aug 26, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carbondale, IL. The record was last updated on Mar 6, 2026.