Individual
DEVON MARIE VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
270 SUSQUEHANNA VALLEY MALL DR STE 100, SELINSGROVE, PA 17870-9115
(570) 884-7922
(570) 768-4195
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009471
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038107130001
—
PA
Enumeration date
05/11/2017
Last updated
09/23/2020
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