Brandon Hertzog
Brandon Hertzog is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2017.
- Licensed in
- TX
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
7011 Declan VlySan Antonio, TX 78242-1020
Phone: (210) 526-1887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 81784 (TX) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1073047080 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 17, 2017 |
| Last updated in NPPES | August 18, 2022 |
| Certification date | August 18, 2022 |
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