Individual
MALLORY L HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6241 HAAG ST APT B, FORT POLK, LA 71459-7420
(501) 482-1510
Mailing address
6241 HAAG ST APT B, FORT POLK, LA 71459-7420
(501) 482-1510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
03268
KS
101YP2500X
Professional Counselor
Primary
LPC.0016727
CO
101YP2500X
Professional Counselor
Primary
LPC.10146
LA
Other
Enumeration date
02/09/2021
Last updated
05/15/2026
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