Individual
JILLELLEN HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
55 N GILBERT ST, SUITE 3202, TINTON FALLS, NJ 07701-4955
(732) 500-7076
Mailing address
637 OVERTON PL, LONG BRANCH, NJ 07740-5408
(732) 263-9349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00425200
NJ
Other
Enumeration date
07/29/2011
Last updated
07/30/2012
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