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Provider Information for 1194359430


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JOHN LEIGH HORNER LPC


Sex: Male

NPI: 1194359430
Last Updated: 2020-02-25
Certification Date: 2020-02-25

Details

NameValue
NPI1194359430
Enumeration Date2020-02-25
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 7431
RICHMOND, VA 23221-0431
United States

Phone: 804-355-9460 | Fax:
 
Primary Practice Address 700 STOCKTON ST APT 416
RICHMOND, VA 23224-4188
United States

Phone: 804-687-1267 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalVA0701008931