Organization
TINA KAMPWERTH COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA MARIE KAMPWERTH LCPC (OWNER)
(618) 795-0630
Entity
Organization
Contact information
Practice address
502 W MAIN ST STE 300, COLLINSVILLE, IL 62234-3055
(618) 795-0630
Mailing address
8031 JOSEPH CT, SAINT ROSE, IL 62230-2506
(618) 795-0630
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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