MS. Tina Marie Churchill, MA, LPC

NPI #1124276563 in Warrenton, Missouri

Provider Information

NPI Number: 1124276563
Entity Type: Individual
Name: MS. Tina Marie Churchill, MA, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MA, LPC
Enumeration Date: Aug 27, 2008
Last Updated: Apr 8, 2019

Practice Location

Address: 1428 N. HIGHWAY 47
Address 2: SUITE A
City: Warrenton
State: Missouri
ZIP Code: 63383-1375
Phone: (636) 359-6445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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