Provider Demographics
NPI:1831520915
Name:HERCZKU, NOELLE K (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:NOELLE
Middle Name:K
Last Name:HERCZKU
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 US HIGHWAY 46
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2602
Mailing Address - Country:US
Mailing Address - Phone:908-852-9000
Mailing Address - Fax:908-850-6578
Practice Address - Street 1:26 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2602
Practice Address - Country:US
Practice Address - Phone:908-852-9000
Practice Address - Fax:908-850-6578
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00484200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional