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Matthew Henderson
Counselor in Alton, Illinois
NPI 1790310399

Matthew Henderson is a Counselor based in West Frankfort, IL. Matthew Henderson practices in Alton, IL. The NPI Number for Matthew Henderson is 1790310399 and holds a License No. (Illinois).

The current practice location address for Matthew Henderson is 2615 Edwards St, Alton, IL and can be reached out via phone at 618-462-2331 and via fax at 618-462-7160.

Location: 2615 Edwards St, Alton, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790310399
Provider Name
Matthew Henderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2615 Edwards St, Alton, IL, 62896-2210
Phone Number
618-462-2331
Fax Number
618-462-7160
Provider Enumeration Date
03/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL2970 05 IL
institution
Provider Business Practice Location Address Details
Address
2615 Edwards St
City
Alton
State
Illinois
Zip
62002-3915
Phone Number
618-462-2331
Fax Number
618-462-7160
person
Provider Business Mailing Address Details
Address
2615 Edwards St
City
Alton
State
Illinois
Zip
62002-3915
Phone Number
618-462-2331
Fax Number
618-462-7160
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Illinois)
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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