Individual
MRS. JENNIFER RUSSELL HORNBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3897 BRIDGE RD, SUFFOLK, VA 23435-1911
(757) 394-1961
(757) 394-1965
Mailing address
3897 BRIDGE RD, SUFFOLK, VA 23435-1911
(757) 394-1961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008775
VA
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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