Search › Illinois › 101YM0800X
Adam Jackson
NPI 1497346696 · on the registry since 2021
Practice
- Address
- 608 S Forest Ave
Carbondale, IL 62901 - Phone
- (618) 434-1328
- Fax
- (618) 893-5640
- Organisation at this address
- Southern Illinois Counseling Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2026-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois