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Contact Information

TIFFANY K JENKINS, PHD, NCSP
EVERGREEN COACHING AND COUNSELING
411 E PARK STREET, UNIT 106
CHAMPAIGN, IL61820
 Phone: 217-714-7042
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TIFFANY K JENKINS · (Female)

NPI # 1710754643
Status Active
Credentials PHD, NCSP
Entity Individual
Enumeration date 12/11/2023
Last updated 12/11/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
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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