Most Relevant Information
Provider Data
| NPI Number: | 1003277534 |
| Provider Name: | CHRISTINE HERZOG LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/10/2016 |
| Last Updated: | 11/07/2018 |
Provider Practice Location
1772 STIEGER LAKE LN STE 220
VICTORIA
MN
553867723
Practice Location Phone/Fax
| Phone: | 9524434600 |
| Fax: |
Provider Mailing Location
PO BOX 51
VICTORIA
MN
553860051
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |