Herzog, Jillellen

Herzog, Jillellen is an sole proprietor health care provider with primary practice located at 55 N Gilbert St Suite 3202, Tinton Falls NJ 07701-4955. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Herzog, Jillellen can be contacted via phone (732) 500-7076.

Contact Information

Primary practice address
55 N Gilbert St Suite 3202 Tinton Falls NJ 07701-4955
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00425200 New Jersey

Profile Details

NPI number 1386922052
LBN Legal business name Herzog, Jillellen
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2011
Last updated Jul 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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