Individual
MS. BERTHA LEMAR HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N J ST, TACOMA, WA 98403-2125
(253) 830-6242
Mailing address
1001 N J ST, TACOMA, WA 98403-2125
(253) 830-6242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60495204
WA
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
05/09/2019
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