Individual provider · Type 1 NPI

Raven Herzog

Counselor · Longview, WA

NPI number 1104271295 Active

Practice location

720 14th Ave
Longview, WA 98632-2315

Call (360) 423-0203 Map

Fax (360) 577-0269

Mailing address

13256 NE 20th St Ste 1
Bellevue, WA 98005-2021

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104271295

Raven Herzog's National Provider Identifier is 1104271295, issued on Apr 26, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Longview, WA. The record was last updated on Jan 14, 2020.