Organization
AMY C CHAMPION, LLC
Active
Other names
Champion Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CHAMPION LCPC (LICENSED CLINICAL PROFESSIONAL COUN)
(618) 792-5200
Entity
Organization
Contact information
Practice address
1115 FRONTAGE RD STE B, O FALLON, IL 62269-2093
(618) 792-5200
Mailing address
1115 FRONTAGE RD STE B, O FALLON, IL 62269-2093
(618) 792-5200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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