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Kolleen A Antonacci, LCPC
Addiction (Substance Use Disorder) Counselor in Carbondale, Illinois
NPI 1730513409

Kolleen A Antonacci is an Addiction (Substance Use Disorder) Counselor based in Carbondale, IL and is specialized in Addiction (Substance Use Disorder). Kolleen A Antonacci practices in Carbondale, IL and has the professional credentials of LCPC. The NPI Number for Kolleen A Antonacci is 1730513409 and holds a License No. 180.008168 (Illinois).

The current practice location address for Kolleen A Antonacci is 2015 W Main St, Carbondale, IL and can be reached out via phone at 618-457-4044 and via fax at 618-529-3834.

Location: 2015 W Main St, Carbondale, IL, 62901-2073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730513409
Provider Name
Kolleen A Antonacci
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
2015 W Main St, Carbondale, IL, 62901-2073
Phone Number
618-457-4044
Fax Number
618-529-3834
Provider Enumeration Date
08/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2015 W Main St
City
Carbondale
State
Illinois
Zip
62901-2073
Phone Number
618-457-4044
Fax Number
618-529-3834
person
Provider Business Mailing Address Details
Address
2015 W Main St
City
Carbondale
State
Illinois
Zip
62901-2073
Phone Number
618-457-4044
Fax Number
618-529-3834
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CADC 2699 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
180.008168 (Illinois)
Definition
Definition to come...
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