Individual provider · Type 1 NPI

James Bruce Hertel Jr., PhD

Professional Counselor · Columbia, MO

NPI number 1295715019 Active

Practice location

1316 Old Highway 63 South, Suite 101
Columbia, MO 65201-6092

Call (573) 424-2605 Map

Fax (573) 441-1223

Mailing address

2801 Lynnwood Drive
Columbia, MO 65203-2940

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X002101 (MO)
Psychologist 103T00000X2002022912 (MO)

Professional Counselor: Definition to come...

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About NPI 1295715019

James Bruce Hertel Jr., PhD's National Provider Identifier is 1295715019, issued on Jan 18, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbia, MO. The record was last updated on Sep 11, 2025.