Individual
CHARLENE HERTZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1820 E 7TH, STE 330, IDAHO FALLS, ID 83404-6400
(208) 497-0685
(208) 497-0506
Mailing address
1990 DEER VALLEY DR, IDAHO FALLS, ID 83401-6811
(208) 757-1665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8861848
ID
Other
Enumeration date
01/27/2022
Last updated
12/01/2025
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