person
Tom Benike, LPC-IT
Professional Counselor in Green Bay, Wisconsin
NPI 1063942969

Tom Benike is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Tom Benike practices in Green Bay, WI and has the professional credentials of LPC-IT. The NPI Number for Tom Benike is 1063942969 and holds a License No. 3512-226 (Wisconsin).

The current practice location address for Tom Benike is 1499 6Th St, Green Bay, WI and can be reached out via phone at 920-497-6161 and via fax at 920-497-6161.

Location: 1499 6Th St, Green Bay, WI, 54304-2252
person
Provider Profile Details
NPI Number
1063942969
Provider Name
Tom Benike
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Male
Address
1499 6Th St, Green Bay, WI, 54304-2252
Phone Number
920-497-6161
Fax Number
920-497-6161
Provider Enumeration Date
06/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3512-226 01 STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1499 6Th St
City
State
Zip
54304-2252
Phone Number
920-497-6161
Fax Number
920-497-6161
person
Provider Business Mailing Address Details
Address
1499 6Th St
City
State
Zip
54304-2252
Phone Number
920-497-6161
Fax Number
920-497-6161
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3512-226 (Wisconsin)
Definition
Definition to come...
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