Provider Demographics
NPI:1821969791
Name:AJREIAN J.M. LOFTON
Entity type:Organization
Organization Name:AJREIAN J.M. LOFTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:AJREIAN
Authorized Official - Middle Name:JHALON MARIE
Authorized Official - Last Name:LOFTON
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LPC
Authorized Official - Phone:798-518-7456
Mailing Address - Street 1:694 SULLIVAN LN
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60484-3031
Mailing Address - Country:US
Mailing Address - Phone:708-518-7456
Mailing Address - Fax:
Practice Address - Street 1:1028 E KERR AVE APT 304
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61802-9130
Practice Address - Country:US
Practice Address - Phone:708-518-7456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty