Jillellen Herzog, LPC
NPI #1386922052 in Tinton Falls, New Jersey
Provider Information
- NPI Number
- 1386922052
- Entity Type
- Individual
- Name
- Jillellen Herzog, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jul 29, 2011
- Last Updated
- Jul 30, 2012
Practice Location
- Address
- 55 N GILBERT ST
- Address 2
- SUITE 3202
- City
- Tinton Falls
- State
- New Jersey
- ZIP Code
- 07701-4955
- Phone
- (732) 500-7076
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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