| Southern Illinois Counseling Pllc | |
|
608 S Forest Ave Carbondale IL 62901-2525 | |
| (618) 924-5633 | |
| Not Available |
| Full Name | Southern Illinois Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 608 S Forest Ave, Carbondale, Illinois |
| Authorized Official Name and Position | Adam Jackson (OWNER) |
| Authorized Official Contact | 6189245633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Counseling Pllc 608 S Forest Ave Carbondale IL 62901-2525 Ph: (618) 924-5633 | Southern Illinois Counseling Pllc 608 S Forest Ave Carbondale IL 62901-2525 Ph: (618) 924-5633 |
| NPI Number | 1356214084 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 09/29/2025 |
| Certification Date | 09/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356214084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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