Provider Demographics
NPI:1679971154
Name:HERZER, PATRICK (LMHCA)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:HERZER
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13701 W JEWELL AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-4180
Mailing Address - Country:US
Mailing Address - Phone:720-440-2985
Mailing Address - Fax:303-484-3943
Practice Address - Street 1:13701 W JEWELL AVE STE 205
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-4180
Practice Address - Country:US
Practice Address - Phone:720-440-2985
Practice Address - Fax:303-484-3943
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60448704101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health