Individual
ANDREA HORNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP, CAR
Contact information
Practice address
235 S 3RD ST, SHELTON, WA 98584-2255
(360) 426-0890
(360) 426-4688
Mailing address
253 S 3RD ST, SHELTON, WA 98584-8330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61192058
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
CG60974781
WA
Other
Enumeration date
06/20/2019
Last updated
03/05/2025
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