Individual provider · Type 1 NPI
Tina Marie Churchill, MA, LPC
Mental Health Counselor · Warrenton, MO
NPI number
1124276563
Active
Practice location
1428 N. Highway 47, Suite A
Warrenton, MO 63383-1375
Fax (636) 456-6216
Mailing address
1428 N State Highway 47 Ste C
Warrenton, MO 63383-1375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 2005010044 (MO) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Warrenton
About NPI 1124276563
Tina Marie Churchill, MA, LPC's National Provider Identifier is 1124276563, issued on Aug 27, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Warrenton, MO. The record was last updated on Apr 8, 2019.