Individual
KORTNEY HORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 N CENTRAL AVE STE 156, PHOENIX, AZ 85012-3603
(602) 252-5856
Mailing address
3101 N CENTRAL AVE STE 156, PHOENIX, AZ 85012-3603
(602) 373-3184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-15751
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6023733184
PHONE NUMBER
—
Enumeration date
03/24/2022
Last updated
08/14/2024
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