Adam J Jackson
Adam J Jackson is a Mental Health Counselor in Carbondale, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
608 S Forest AveCarbondale, IL 62901-2525
Phone: (618) 434-1328
Fax: (618) 893-5640
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1497346696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 30, 2021 |
| Last updated in NPPES | April 21, 2026 |
| Certification date | April 21, 2026 |
| Mailing address | 608 S Forest Ave, Carbondale, IL 62901-2525 |
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