Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Henderson

Individual provider Counselor · NPI 1790310399

Matthew Henderson is a Counselor in Alton, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

2615 Edwards St
Alton, IL 62002-3915
Phone: (618) 462-2331
Fax: (618) 462-7160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (IL)

Record details

NPI number1790310399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2020
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020
Mailing address902 W Main St, West Frankfort, IL 62896-2210

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