Jennifer E Horne, MA, LPC
Individual provider Active NPI Counselor · Cuba, NM
NPI 1487822243 · NPPES record last updated Feb 14, 2008
Key facts
- NPI
- 1487822243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 104171 (NM)
- Practice address
- 53 County Road 13
Cuba, NM 87013 - Phone
- (505) 615-5764
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104171 | NM | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 104171 | NM | Yes |
Addresses
Primary practice location
53 County Road 13
Cuba, NM 87013
Mailing address
3939 Rio Grande Blvd NW Unit 26
Albuquerque, NM 87107-3155
Phone (505) 615-5764
Other providers in Cuba, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.