SearchIllinoisAddiction (Substance Use Disorder) Counselor

Kolleen Antonacci, LCPC

NPI 1730513409 · on the registry since 2013 · sole proprietor

Practice

Address
2015 W Main St
Suite 103
Carbondale, IL 62901
Phone
(618) 457-4044
Fax
(618) 529-3834

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Also registered as
Counselor
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-29

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