MS. Tonya Renae Camacho, LPCP

NPI #1922411354 in West Peoria, Illinois

Provider Information

NPI Number: 1922411354
Entity Type: Individual
Name: MS. Tonya Renae Camacho, LPCP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPCP
Enumeration Date: Jun 3, 2014
Last Updated: Jun 3, 2014

Practice Location

Address: 3205 W KENWOOD AVE
City: West Peoria
State: Illinois
ZIP Code: 61604-4827
Phone: (309) 678-7030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X

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