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

Kolleen A Antonacci, LCPC

Individual provider Counselor · NPI 1730513409

Kolleen A Antonacci, LCPC is a Counselor in Carbondale, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

2015 W Main St Ste 103
Carbondale, IL 62901-2073
Phone: (618) 457-4044
Fax: (618) 529-3834
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Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CADC 2699 (IL)
Counselor Taxonomy 101Y00000X · Licence 180.008168 (IL)

Record details

NPI number1730513409
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedAugust 29, 2013
Last updated in NPPESAugust 29, 2013
Mailing address2015 W Main St, Suite 103, Carbondale, IL 62901-2073

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