Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacara Brisco, BS

Individual provider Counselor · NPI 1952036766

Jacara Brisco, BS is a Counselor in Carbondale, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

2411 S Illinois Ave
Carbondale, IL 62903-5913
Phone: (618) 457-6703
Fax: (618) 549-3734
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Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1952036766
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address902 W Main St, West Frankfort, IL 62896-2210

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