| Mr Thomas Burton Willingham, MDIV | |
|
131 Pascack Rd, Park Ridge, NJ 07656-1124 | |
| (201) 391-1935 | |
| Not Available |
| Full Name | Mr Thomas Burton Willingham |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 131 Pascack Rd, Park Ridge, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992913370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00193400 (New Jersey) | Primary |
| 101YM0800X | Counselor - Mental Health | LMHC002492 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Burton Willingham, MDIV 131 Pascack Rd, Park Ridge, NJ 07656-1124 Ph: (201) 391-1935 | Mr Thomas Burton Willingham, MDIV 131 Pascack Rd, Park Ridge, NJ 07656-1124 Ph: (201) 391-1935 |
Daniel J Smith, LCSW LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 Park Ave, Park Ridge, NJ 07656 Phone: 201-822-1877 | |
Ms. Janice Georgallas, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 139 Ashley Pl, Park Ridge, NJ 07656 Phone: 201-336-2833 | |
Stephanie Blum, LPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Fairview Ave, Park Ridge, NJ 07656 Phone: 845-598-0691 | |
Anthony Charles Ricci, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Kinderkamack Rd, Park Ridge, NJ 07656 Phone: 201-391-1355 Fax: 201-391-9516 | |
Dana Brodhecker, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Kinderkamack Rd # 1042, Park Ridge, NJ 07656 Phone: 201-500-5997 | |
Ms. Kim Marie Pauline, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 S Maple Ave, Suite A, Park Ridge, NJ 07656 Phone: 315-383-7862 Fax: 866-475-1097 |