MR. Thomas Burton Willingham, M.DIV.

NPI #1992913370 in Park Ridge, New Jersey

Provider Information

NPI Number: 1992913370
Entity Type: Individual
Name: MR. Thomas Burton Willingham, M.DIV.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: M.DIV.
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 131 PASCACK RD
City: Park Ridge
State: New Jersey
ZIP Code: 07656-1124
Phone: (201) 391-1935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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Organizations

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