person
Jotham Tiarks, LCPC
Professional Counselor in Champaign, Illinois
NPI 1043614803

Jotham Tiarks is a Professional Counselor based in Champaign, IL and is specialized in Professional. Jotham Tiarks practices in Champaign, IL and has the professional credentials of LCPC. The NPI Number for Jotham Tiarks is 1043614803 and holds a License No. (Illinois).

The current practice location address for Jotham Tiarks is 201 W Springfield Ave, Champaign, IL and can be reached out via phone at 217-722-9079 and via fax at 217-501-4322.

Location: 201 W Springfield Ave, Champaign, IL, 61820-6385
person
Provider Profile Details
NPI Number
1043614803
Provider Name
Jotham Tiarks
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
201 W Springfield Ave, Champaign, IL, 61820-6385
Phone Number
217-722-9079
Fax Number
217-501-4322
Provider Enumeration Date
10/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 W Springfield Ave
City
State
Zip
61820-6385
Phone Number
217-722-9079
Fax Number
217-501-4322
person
Provider Business Mailing Address Details
Address
201 W Springfield Ave
City
State
Zip
61820-6385
Phone Number
217-722-9079
Fax Number
217-501-4322
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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