Individual provider · Type 1 NPI
Tiffany Jordan, LCPC
Counselor · Peoria, IL
NPI number
1154748747
Active
Practice location
6615 N Big Hollow Rd
Peoria, IL 61615
Fax (309) 692-6952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 180009045 (IL) |
| Counselor Primary | 101Y00000X | 180.009045 (IL) |
Counselor: 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.
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About NPI 1154748747
Tiffany Jordan, LCPC's National Provider Identifier is 1154748747, issued on Mar 21, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Peoria, IL. The record was last updated on Dec 9, 2024.