Individual
TIFFANY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6615 N BIG HOLLOW RD, PEORIA, IL 61615
(309) 692-6622
(309) 692-6952
Mailing address
6615 N BIG HOLLOW RD, PEORIA, IL 61615-2450
(309) 692-6622
(309) 692-6952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009045
IL
101YP2500X
Professional Counselor
180009045
IL
Other
Enumeration date
03/21/2014
Last updated
12/09/2024
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