Individual
LARISSA HERTZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
1415 LINCOLNWAY W STE T, OSCEOLA, IN 46561-2063
(574) 651-8912
(574) 281-4412
Mailing address
1415 LINCOLNWAY W STE T, OSCEOLA, IN 46561-2063
(574) 651-8912
(574) 281-4412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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