Provider Demographics
NPI:1700189123
Name:VAN HORN, HANNAH LEA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:LEA
Last Name:VAN HORN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 N SENECA ST STE 120
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-5952
Mailing Address - Country:US
Mailing Address - Phone:316-247-1133
Mailing Address - Fax:316-262-2799
Practice Address - Street 1:313 N SENECA ST STE 118
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-5951
Practice Address - Country:US
Practice Address - Phone:316-247-1133
Practice Address - Fax:316-262-2799
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1190106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist