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General NPI Number Information
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NPI Number | 1821969791
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Entity Type | Organization
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Legal Business Name | AJREIAN J.M. LOFTON
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1028 E KERR AVE APT 304
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City | URBANA
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State | IL
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Zip | 61802-9130
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Country | US
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Telephone | 708-518-7456
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Fax |
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Provider Business Mailing Address
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Address Line | 694 SULLIVAN LN
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City | UNIVERSITY PARK
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State | IL
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Zip | 60484-3031
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Country | US
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Telephone | 708-518-7456
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MISS AJREIAN JHALON MARIE LOFTON
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Credential | NCC, LPC
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Telephone | 798-518-7456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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