Individual
BRANDON HERTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7011 DECLAN VLY, SAN ANTONIO, TX 78242-1020
(210) 526-1887
Mailing address
7011 DECLAN VLY, SAN ANTONIO, TX 78242-1020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
81784
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2017
Last updated
08/18/2022
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