Individual
JESSICA RUTH HORNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HASTINGS ST, TRAVERSE CITY, MI 49686-3445
(231) 947-8110
Mailing address
129 E TENTH ST, TRAVERSE CITY, MI 49684-3205
(989) 600-0929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018692
MI
Other
Enumeration date
02/21/2020
Last updated
02/25/2021
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