Individual
JOHN K HERSHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LMHC
Contact information
Practice address
2600 OAKLAND AVE, ELKHART, IN 46517-1533
(574) 533-1234
(574) 537-2652
Mailing address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 533-1234
(574) 537-2652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000464A
IN
106H00000X
Marriage & Family Therapist
Primary
35000508A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204891
ANTHEM
IN
Enumeration date
06/23/2006
Last updated
08/28/2007
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