Individual
MICHELE HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 E VIRGINIA AVE UNIT B, PHOENIX, AZ 85004-1220
(602) 424-2060
Mailing address
1051 W KILAREA AVE, MESA, AZ 85210-6733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13319
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LIAC-155346
AZ
Other
Enumeration date
06/15/2023
Last updated
04/06/2026
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