Individual
JACOB THOMAS HOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
2228 GREENBRIER DR, CHARLOTTESVILLE, VA 22901-2918
(434) 245-2415
Mailing address
312 13TH ST NW APT 23, CHARLOTTESVILLE, VA 22903-2754
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004091
VA
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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