Individual
GREGORY HERTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(623) 738-6642
Mailing address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23759
AZ
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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