Individual
JANE HORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
104 W 6TH AVE STE 100, ROME, GA 30161-3050
(706) 250-1634
Mailing address
104 W 6TH AVE STE 100, ROME, GA 30161-3050
(706) 250-1634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC006494
GA
101YP2500X
Professional Counselor
Primary
LPC012297
GA
Other
Enumeration date
09/19/2018
Last updated
01/31/2022
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