What is Tiffany Jourdan's NPI number?

The NPI number assigned to this healthcare provider is 1205270105, enumerated as a individual on April 22, 2013.

Where is the provider located?

The provider is located at 202 W PARK AVE CHAMPAIGN, IL 61820 and the phone number is (217) 398-8080.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

TIFFANY K JOURDAN - NPI 1205270105 - Counselor in Champaign, IL

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About Tiffany K Jourdan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY K JOURDAN (NPI 1205270105) is an individual counselor in Champaign, Illinois and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1205270105

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameTIFFANY K JOURDAN

Location Address202 W PARK AVEChampaign, IL 61820-3929

Mailing AddressPo Box 6883Champaign, IL 61826-6883

Phone(217) 398-8080

Sole ProprietorYes

Enumeration DateApril 22, 2013

✔ NPI 1205270105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

202 W PARK AVE, Champaign, IL 61820

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