Individual
ELIZABETH ANN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PHD
Contact information
Practice address
745 S PROGRESS AVE, MERIDIAN, ID 83642-5619
(208) 895-6729
(208) 855-5921
Mailing address
PO BOX 45899, BOISE, ID 83711-5899
(208) 895-6729
(208) 855-5921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-3950
ID
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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