Individual provider · Type 1 NPI

Tom Benike, LPC-IT

Professional Counselor · Green Bay, WI

NPI number 1063942969 Active

Practice location

1499 6th St
Green Bay, WI 54304-2252

Fax (920) 497-6161

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3512-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1063942969

Tom Benike, LPC-IT's National Provider Identifier is 1063942969, issued on Jun 14, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Jun 14, 2017.