Provider Demographics
NPI:1316698731
Name:HERKERT, HANNAH (LMHC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HERKERT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CEDAR AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2956
Mailing Address - Country:US
Mailing Address - Phone:530-682-1004
Mailing Address - Fax:
Practice Address - Street 1:120 CEDAR AVE STE 102
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2956
Practice Address - Country:US
Practice Address - Phone:530-682-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60940655101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health