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Adam J Jackson
Mental Health Counselor in Carterville, Illinois
NPI 1497346696

Adam J Jackson is a Mental Health Counselor based in Carbondale, IL and is specialized in Mental Health. Adam J Jackson practices in Carterville, IL. The NPI Number for Adam J Jackson is 1497346696 and holds a License No. (Illinois).

The current practice location address for Adam J Jackson is 209 W Commercial Dr Ste H, Carterville, IL and can be reached out via phone at 618-351-9700.

Location: 209 W Commercial Dr Ste H, Carterville, IL, 62901-5540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497346696
Provider Name
Adam J Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
209 W Commercial Dr Ste H, Carterville, IL, 62901-5540
Phone Number
618-351-9700
Fax Number
Provider Enumeration Date
01/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
209 W Commercial Dr Ste H
City
Carterville
State
Illinois
Zip
62918-2057
Phone Number
618-351-9700
Fax Number
person
Provider Business Mailing Address Details
Address
209 W Commercial Dr Ste H
City
Carterville
State
Illinois
Zip
62918-2057
Phone Number
618-351-9700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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