Individual provider · Type 1 NPI

Adam J. Jackson

Mental Health Counselor · Carbondale, IL

NPI number 1497346696 Active

Practice location

608 S Forest Ave
Carbondale, IL 62901-2525

Call (618) 434-1328 Map

Fax (618) 893-5640

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497346696

Adam J. Jackson's National Provider Identifier is 1497346696, issued on Jan 30, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carbondale, IL. The record was last updated on Apr 21, 2026.