Provider Demographics
NPI:1487664157
Name:HORNER, KAREN S (MED, LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:HORNER
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 S KOENIGHEIM ST
Mailing Address - Street 2:SUITE 3-E
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-6769
Mailing Address - Country:US
Mailing Address - Phone:325-653-1373
Mailing Address - Fax:325-659-3722
Practice Address - Street 1:502 S KOENIGHEIM ST
Practice Address - Street 2:SUITE 3-E
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6769
Practice Address - Country:US
Practice Address - Phone:325-653-1373
Practice Address - Fax:325-659-3722
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16407101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX16407OtherLPC