Individual provider · Type 1 NPI

Breanna Suttles, BA

Counselor · Carbondale, IL

NPI number 1407637952 Active

Practice location

2311 S Illinois Ave
Carbondale, IL 62903-5912

Call (618) 457-6703 Map

Fax (618) 549-3734

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 1407637952

Breanna Suttles, BA's National Provider Identifier is 1407637952, issued on Oct 11, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Carbondale, IL. The record was last updated on Oct 11, 2023.