Most Relevant Information
Provider Data
| NPI Number: | 1003646779 |
| Provider Name: | THOMAS B. HENDERSHOT LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 37PC00799800 |
Most Important Dates
| Enumeration Date: | 08/06/2024 |
| Last Updated: | 08/06/2024 |
Provider Practice Location
601 NORTH 4TH STREET
SAA
HAMMONTON
NJ
080379722
Practice Location Phone/Fax
| Phone: | 6095677070 |
| Fax: |
Provider Mailing Location
14 BRITTIN AVE
AUDUBON
NJ
081061954
Provider Mailing Phone/Fax
| Phone: | 8568822255 |
| Fax: |