Amy C Champion, LCPC Valid NPI
Individual provider · Professional Counselor · O Fallon, IL
- NPI
- 1285782474
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 180006300 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-01-06
- Last updated
- 2021-09-16
Practice location
1115 Frontage Rd Ste B
O Fallon, IL 62269-2093
(618) 792-5200