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Thomas Joseph Henneberry IV
Counselor in Rockford, Illinois
NPI 1386120855

Thomas Joseph Henneberry IV is a Counselor based in Rockford, IL. Thomas Joseph Henneberry IV practices in Rockford, IL. The NPI Number for Thomas Joseph Henneberry IV is 1386120855 and holds a License No. (Illinois).

The current practice location address for Thomas Joseph Henneberry IV is 8616 Northern Ave, Rockford, IL and can be reached out via phone at 815-332-8003.

Location: 8616 Northern Ave, Rockford, IL, 61107-3877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386120855
Provider Name
Thomas Joseph Henneberry IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
8616 Northern Ave, Rockford, IL, 61107-3877
Phone Number
815-332-8003
Fax Number
Provider Enumeration Date
07/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8616 Northern Ave
City
Rockford
State
Illinois
Zip
61107-5309
Phone Number
815-332-8003
Fax Number
person
Provider Business Mailing Address Details
Address
8616 Northern Ave
City
Rockford
State
Illinois
Zip
61107-5309
Phone Number
815-332-8003
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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