Individual provider · Type 1 NPI

Jonathan D. Herzog, MA

Mental Health Counselor · San Leandro, CA

NPI number 1023306677 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Mailing address

3136 E Madison St Ste 100
Seattle, WA 98112-4267

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X92225 (CA)
Mental Health Counselor Primary 101YM0800XLH60389198 (WA)

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About NPI 1023306677

Jonathan D. Herzog, MA's National Provider Identifier is 1023306677, issued on Jul 18, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Dec 8, 2022.