Jourdan, Tiffany K

Jourdan, Tiffany K is an sole proprietor health care provider with primary practice located at 202 W Park Ave , Champaign IL 61820-3929. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jourdan, Tiffany K can be contacted via phone (217) 398-8080.

Contact Information

Primary practice address
202 W Park Ave Champaign IL 61820-3929
Phone: (217) 398-8080
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1205270105
LBN Legal business name Jourdan, Tiffany K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2013
Last updated Apr 22nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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