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Individual

MARCIE HERZOG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 301-5856
Mailing address
1930 E ROSE LN, PHOENIX, AZ 85016-1924

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-13253
AZ
101YP2500X
Professional Counselor
LPC-13253
AZ

Other

Enumeration date
03/13/2026
Last updated
03/13/2026
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