Individual
MR. GREGORY D HORNBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1450 ROANOKE RD, DALEVILLE, VA 24083-2935
(540) 526-4673
(540) 591-9914
Mailing address
PO BOX 332, DALEVILLE, VA 24083-0332
(540) 526-4673
(540) 591-9911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002919
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010029791
—
VA
Enumeration date
06/21/2005
Last updated
01/24/2011
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