Johnathan Jackson, BS - Carbondale, IL

Johnathan Jackson, BS

Counselor in Carbondale, Illinois

NPI 1144961806

Johnathan Jackson is a Counselor based in West Frankfort, IL. Johnathan Jackson practices in Carbondale, IL and has the professional credentials of BS. The NPI Number for Johnathan Jackson is 1144961806 and holds a License No. (Illinois).

The current practice location address for Johnathan Jackson is 2411 S Illinois Ave, Carbondale, IL and can be reached out via phone at 855-608-3560.

Location: 2411 S Illinois Ave, Carbondale, IL, 62896-2210

NPI Number

1144961806

Provider Name

Johnathan Jackson

Credential

Provider Entity Type

Individual

Gender

Male

Address

2411 S Illinois Ave, Carbondale, IL, 62896-2210

Phone Number

855-608-3560

Fax Number

Provider Enumeration Date

04/06/2022

Last Update Date

03/10/2024

Address

2411 S Illinois Ave

City

Carbondale

State

Illinois

Zip

62903-5913

Phone Number

855-608-3560

Fax Number

Address

2411 S Illinois Ave

City

Carbondale

State

Illinois

Zip

62903-5913

Phone Number

855-608-3560

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

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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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