Individual
MICHELLE HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, CST
Contact information
Practice address
1300 W BELMONT AVE STE 303, CHICAGO, IL 60657-8046
(312) 813-7701
Mailing address
1300 W BELMONT AVE STE 303, CHICAGO, IL 60657-8046
(312) 813-7701
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001024
IL
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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