Individual
ASHLEY E HERTZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4144 N ARMENIA AVE STE 355, TAMPA, FL 33607-6450
(813) 519-5945
Mailing address
7302 N DIXON AVE, TAMPA, FL 33604-4812
(720) 300-9195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15095
CO
101YM0800X
Mental Health Counselor
17731
CO
101YM0800X
Mental Health Counselor
Primary
18016
FL
101YM0800X
Mental Health Counselor
IMH16923
FL
Other
Enumeration date
02/08/2017
Last updated
04/25/2022
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