Individual provider · Type 1 NPI

Jillellen Herzog, LPC

Professional Counselor · Tinton Falls, NJ

NPI number 1386922052 Active

Practice location

55 N Gilbert St, Suite 3202
Tinton Falls, NJ 07701-4955

Call (732) 500-7076 Map

Mailing address

637 Overton Pl
Long Branch, NJ 07740-5408

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00425200 (NJ)

Professional Counselor: Definition to come...

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About NPI 1386922052

Jillellen Herzog, LPC's National Provider Identifier is 1386922052, issued on Jul 29, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tinton Falls, NJ. The record was last updated on Jul 30, 2012.