Individual
YVONNE HERTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8949 MANCHESTER RD, BRENTWOOD, MO 63144-2621
(314) 329-4326
Mailing address
512 N CHERRY ST, O FALLON, IL 62269-1120
(414) 530-8615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018021289
MO
104100000X
Social Worker
—
—
Other
Enumeration date
09/07/2015
Last updated
03/06/2023
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