| Tina Kampwerth Counseling Inc | |
|
502 W Main St Ste 300 Collinsville IL 62234-3055 | |
| (618) 795-0630 | |
| Not Available |
| Full Name | Tina Kampwerth Counseling Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 502 W Main St Ste 300, Collinsville, Illinois |
| Authorized Official Name and Position | Tina Marie Kampwerth (OWNER) |
| Authorized Official Contact | 6187950630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Kampwerth Counseling Inc 8031 Joseph Ct Saint Rose IL 62230-2506 Ph: (618) 795-0630 | Tina Kampwerth Counseling Inc 502 W Main St Ste 300 Collinsville IL 62234-3055 Ph: (618) 795-0630 |
| NPI Number | 1447003256 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447003256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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