Individual provider · Type 1 NPI
Brandon Hertzog
Mental Health Counselor · San Antonio, TX
NPI number
1073047080
Active
Practice location
7011 Declan Vly
San Antonio, TX 78242-1020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 81784 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1073047080
Brandon Hertzog's National Provider Identifier is 1073047080, issued on Apr 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Antonio, TX. The record was last updated on Aug 18, 2022.