Doctor Name: | MS. FRANCES LYN HERTZ |
NPI Number: | 1013312180 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LMHC |
License Number: | LH00006205 |
Business Practice Address: | 3857 Martin Way E Olympia, WA - 985065268 |
Business Phone Number: | 3607047170 |
Business Fax Number: | 3604382926 |
Mailing Address: | 3857 Martin Way E, OLYMPIA |
State: | WA |
Postal Code: | 985065268 |
Phone Number: | 3607047170 |
Fax Number: | 3604382926 |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00006205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |