| Doctor Name: | CAMILLE BRUTON REINHOLD |
| NPI Number: | 1023342086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 2009029405 |
| Business Practice Address: | 12166 Old Big Bend Rd Suite 102 Kirkwood, MO - 631226844 |
| Business Phone Number: | 3147170190 |
| Business Fax Number: | 3147547275 |
| Mailing Address: | 12166 Old Big Bend Rd, Suite 102 KIRKWOOD |
| State: | MO |
| Postal Code: | 631226844 |
| Phone Number: | 3147170190 |
| Fax Number: | 3147547275 |
| NPI Enumeration Date: | 09/23/2009 |
| NPI Last Update Date: | 02/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2009029405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |