Individual provider · Type 1 NPI
Thomas Burton Willingham, M.DIV.
Mental Health Counselor · Park Ridge, NJ
NPI number
1992913370
Active
Practice location
131 Pascack Rd
Park Ridge, NJ 07656-1124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37PC00193400 (NJ) |
| Mental Health Counselor | 101YM0800X | LMHC002492 (NY) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Park Ridge
About NPI 1992913370
Thomas Burton Willingham, M.DIV.'s National Provider Identifier is 1992913370, issued on May 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Park Ridge, NJ. The record was last updated on Jul 8, 2007.