Jotham Tiarks, LCPC

NPI #1043614803 in Champaign, Illinois

Provider Information

NPI Number
1043614803
Entity Type
Individual
Name
Jotham Tiarks, LCPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Oct 22, 2014
Last Updated
Oct 22, 2014

Practice Location

Address
201 W SPRINGFIELD AVE
Address 2
SUITE 605
ZIP Code
61820-6385
Phone
(217) 722-9079

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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