Individual
JOCELYN HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(206) 383-1120
Mailing address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
X-09302
NM
1041C0700X
Clinical Social Worker
X-09302
NM
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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