THOMAS HERTZOG

ALEXANDRIA, MN
NPI1164895124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303328)
Enumeration Date2015-11-12
Last Update Date2015-11-12
Business Address
-- THOMAS HERTZOG BS, LADC
222 9TH AVE W
ALEXANDRIA, MN 56308-2221
Phone number: 320-736-3912
Mailing Address
-- THOMAS HERTZOG BS, LADC
222 9TH AVE W
ALEXANDRIA, MN 56308-2221
Phone number: 320-736-3912