Individual
MS. TINA MARIE CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1428 N. HIGHWAY 47, SUITE A, WARRENTON, MO 63383-1375
(636) 359-6445
(636) 456-6216
Mailing address
1428 N STATE HIGHWAY 47 STE C, WARRENTON, MO 63383-1375
(636) 359-6445
(636) 377-1900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2005010044
MO
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/27/2008
Last updated
04/08/2019
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