RAVEN HERZOG
Counselor
Active
Individual
NPI: 1104271295
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Analyst | 103K00000X | No | - |
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1104271295 is the National Provider Identifier for RAVEN HERZOG, a Counselor provider located in Longview, WA. This NPI was enumerated on April 26, 2016.
RAVEN HERZOG practices at 720 14TH AVE, Longview, WA 98632.
Quick Facts
- NPI
- 1104271295
- Type
- Individual
- Enumerated
- Apr 26, 2016
- Last Updated
- Jan 14, 2020
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