Camacho, Tonya Renae

Camacho, Tonya Renae is an sole proprietor health care provider with primary practice located at 3205 W Kenwood Ave , West Peoria IL 61604-4827. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Camacho, Tonya Renae can be contacted via phone (309) 678-7030.

Contact Information

Primary practice address
3205 W Kenwood Ave West Peoria IL 61604-4827
Phone: (309) 678-7030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180.007311 Illinois
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 180.007311 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.007311
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.007311

Profile Details

NPI number 1922411354
LBN Legal business name Camacho, Tonya Renae
Credentials LPCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2014
Last updated Jun 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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