NPI 1033218086

Jane Kidwell, LCPC

Practitioner Professional Counselor Carbondale, IL

Practice location

Address: 35 Albany Rd Suite E, Carbondale, IL 62903-7605
Phone: (618) 241-2128
Fax: (618) 241-3848
Mailing address: PO Box 587, Centralia, IL 62801-9110

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Other Counselor providers in Illinois →

Registry record

NPI: 1033218086
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.