DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THOMAS BURTON WILLINGHAM, M.DIV.

Active Sole Proprietor

MR. THOMAS BURTON WILLINGHAM, M.DIV. is a Mental Health Counselor healthcare provider located in PARK RIDGE, New Jersey. NPI 1992913370 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PARK RIDGE, NJ

Registration Details

NPI Number
1992913370
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2007 (19.056292501053 yrs)
Last Updated
Jul 8, 2007
Licenses
37PC00193400 (NJ)
LMHC002492 (NY)
Sole Proprietor
Yes

Practice Information

Address
131 PASCACK RD
PARK RIDGE, NJ, 076561124
Browse NJ providers · Browse ZIP 07656
Phone
2013911935
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in PARK RIDGE, NJ

Name Credential NPI
STEPHANIE BLUM LPC, LMHC 1396370706
DANA BRODHECKER MA, LPC, NCC 1427620020
ANTHONY CHARLES RICCI LSW 1417628611
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.