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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOTHAM TIARKS, LCPC

Active

JOTHAM TIARKS, LCPC is a Professional Counselor healthcare provider located in CHAMPAIGN, Illinois. NPI 1043614803 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CHAMPAIGN, IL

Registration Details

NPI Number
1043614803
Provider Type
Individual
Gender
Male
NPI Issued
Oct 22, 2014 (11.831194390259 yrs)
Last Updated
Oct 22, 2014

Practice Information

Address
201 W SPRINGFIELD AVE
SUITE 605
CHAMPAIGN, IL, 618206385
Browse IL providers · Browse ZIP 61820
Phone
2177229079
Fax
2175014322
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in CHAMPAIGN, IL

Name Credential NPI
MR. ROBERT S SILVERMAN MS, CRC, LCPC 1912983701
MR. KEVIN LESLEI ELLIOTT LCPC 1982618526
ELAINE K OLSON LCPC 1467552513
CINDY L LAM ED.M. 1396822276
MS. SALLY W. ANDERSON LCPC 1902972797
MS. TONYA MICHELLE LAWYER LCPC 1306908694
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.