Jill Marie Tam, MA, LPC
Counselor, Professional in Springfield, MO. Individual provider (NPI-1).
NPI number1194356899
StatusActive
Last updated in NPPESAug 19, 2024
Details
- NPI
- 1194356899
- Entity type
- Individual (NPI-1)
- Name
- Jill Marie Tam
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2020
- Certification date
- Aug 19, 2024
- Last updated
- Aug 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2019047996 | MO | Yes |
Practice location
2885 W Battlefield StSpringfield, MO 65807-3952
Phone 417-761-5214
Mailing address
2885 W Battlefield StSpringfield, MO 65807-3952
Phone 417-761-5000
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