Individual
MARK EDWARD HERSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 FERNHEAD AVE, MONROE, NJ 08831-8736
(732) 995-9784
Mailing address
220 FERNHEAD AVE, MONROE, NJ 08831-8736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
102X00000X
Poetry Therapist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001
DDD
—
Enumeration date
09/03/2019
Last updated
09/03/2019
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