TIFFANY K JOURDAN NPI 1205270105

NPI Information

NPI: 1205270105
Provider Name: TIFFANY K JOURDAN
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
202 W PARK AVE
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 398-8080
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Tiffany K Jourdan is a counselor in Champaign, IL. The provider is 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. Tiffany K Jourdan NPI is 1205270105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

202 W PARK AVE
CHAMPAIGN, IL
ZIP 61820-929
Phone: (217) 398-8080

The enumeration date for this NPI number is 4/22/2013 and was last updated on 4/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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