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

Johnathan Jackson, BS

Individual provider Counselor · NPI 1144961806

Johnathan Jackson, 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: (855) 608-3560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1144961806
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022
Mailing address902 W Main St, West Frankfort, IL 62896-2210

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