Individual
MISS HOPE EVAN HORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
700 PARK AVE, IRONTON, OH 45638-1502
(740) 532-1613
(740) 879-0599
Mailing address
PO BOX 108, IRONTON, OH 45638-0108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2204167-TRNE
OH
171M00000X
Case Manager/Care Coordinator
CDCA.178886
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497668
—
OH
Enumeration date
07/22/2020
Last updated
07/26/2022
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