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Contact Information

TIFFANY JORDAN, LCPC
6615 N BIG HOLLOW RD
PEORIA, IL61615
 Phone: 309-692-6622
 Fax: 309-692-6952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for TIFFANY JORDAN · (Female)

NPI Number 1154748747
Status Active
Credentials LCPC (Licensed Clinical Professional Counselor)
Entity Individual
Enumeration date 03/21/2014
Last updated 12/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 180.009045
  • IL License # 180009045
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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