Tavia Jones, LCPC
Counselor, Professional in Springfield, IL. Individual provider (NPI-1).
NPI number1295048635
StatusActive
Last updated in NPPESJul 14, 2010
Details
- NPI
- 1295048635
- Entity type
- Individual (NPI-1)
- Name
- Tavia Jones
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2010
- Last updated
- Jul 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180007470 | IL | Yes |
Practice location
5230 S 6th Street RdSpringfield, IL 62703-5128
Phone 217-585-1180 · Fax 217-585-4747
Mailing address
5230 S 6th Street RdSpringfield, IL 62703-5128
Phone 217-585-1180 · Fax 217-585-4747
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