Individual
DR. TIFFANY KEISHA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, NCSP
Contact information
Practice address
EVERGREEN COACHING AND COUNSELING, 411 E PARK STREET, UNIT 106, CHAMPAIGN, IL 61820
(217) 714-7042
Mailing address
203 W OREGON ST, URBANA, IL 61801-4123
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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