Organization
CHURCHILL FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA M. CHURCHILL LPC (THERAPIST/OWNER)
(636) 359-6445
Entity
Organization
Contact information
Practice address
1428 N STATE HIGHWAY 47, SUITE A, WARRENTON, MO 63383-1375
(636) 359-6445
(636) 456-6216
Mailing address
1428 N STATE HIGHWAY 47, SUITE A, WARRENTON, MO 63383-1375
(636) 359-6445
(636) 456-6216
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005010044
MO
Other
Enumeration date
07/24/2012
Last updated
09/05/2014
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