Provider Demographics
NPI:1689211377
Name:HIRSCH, HENRY JR (LPC)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:HIRSCH
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 COLLINS CIR
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-3448
Mailing Address - Country:US
Mailing Address - Phone:443-244-2454
Mailing Address - Fax:
Practice Address - Street 1:62 COLLINS CIR
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3448
Practice Address - Country:US
Practice Address - Phone:443-244-2454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC10084101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health