Laura L Herzog, LCPC
NPI #1720067622 in Carbondale, Illinois
Provider Information
- NPI Number
- 1720067622
- Entity Type
- Individual
- Name
- Laura L Herzog, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Jan 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1110 CEDAR CT
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-5300
- Phone
- (618) 457-4144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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