Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOLLEEN A ANTONACCI, LCPC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · CARBONDALE, IL
Registration Details
- NPI Number
- 1730513409
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2013 (12.653804656822 yrs)
- Last Updated
- Aug 29, 2013
- Licenses
-
180.008168 (IL)CADC 2699 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2015 W MAIN STSUITE 103CARBONDALE, IL, 629012073Browse IL providers · Browse ZIP 62901
- Phone
- 6184574044
- Fax
- 6185293834
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in CARBONDALE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DAVE SCOTT EVANS | MS, CADC | 1003042011 |
| MARISSA MCKEE | MRC, CRC, LPC, CRADC | 1619103488 |
| TAMARA MARIE GEORGE | MSW | 1073808796 |
| GERI L TUCKER | MSW | 1669768446 |
| STEVIE BARTON | — | 1861285173 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.