Individual
MS. BRENDA WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 W HIGHLAND AVE STE A, ROBINSON, IL 62454
(618) 546-5232
(618) 544-7892
Mailing address
PO BOX M, 504 MICAH DRIVE, OLNEY, IL 62450-0913
(618) 395-4306
(618) 395-4507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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