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Matthew Picchietti
Counselor in Carbondale, Illinois
NPI 1053934489

Matthew Picchietti is a Counselor based in West Frankfort, IL. Matthew Picchietti practices in Carbondale, IL. The NPI Number for Matthew Picchietti is 1053934489 and holds a License No. (Illinois).

The current practice location address for Matthew Picchietti is 2311 S Illinois Ave, Carbondale, IL and can be reached out via phone at 618-457-6703. You can also correspond with Matthew Picchietti through the mailing address at 902 W MAIN ST, WEST FRANKFORT, IL - 62896-2210 (mailing address contact number: 618-937-6483).

Location: 2311 S Illinois Ave, Carbondale, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053934489
Provider Name
Matthew Picchietti
Credential
Provider Entity Type
Individual
Gender
Male
Address
2311 S Illinois Ave, Carbondale, IL, 62896-2210
Phone Number
618-457-6703
Fax Number
Provider Enumeration Date
05/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370916475 05 IL
institution
Provider Business Practice Location Address Details
Address
2311 S Illinois Ave
City
Carbondale
State
Illinois
Zip
62903-5912
Phone Number
618-457-6703
Fax Number
person
Provider Business Mailing Address Details
Address
2311 S Illinois Ave
City
Carbondale
State
Illinois
Zip
62903-5912
Phone Number
618-457-6703
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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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