Provider Demographics
NPI:1912551961
Name:HORNICK, JENNY LEIGH (MS, PLPC, NCC)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:LEIGH
Last Name:HORNICK
Suffix:
Gender:F
Credentials:MS, PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5608 N 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-6314
Mailing Address - Country:US
Mailing Address - Phone:417-581-6911
Mailing Address - Fax:417-581-6901
Practice Address - Street 1:5608 N 13TH AVE
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-6314
Practice Address - Country:US
Practice Address - Phone:417-581-6911
Practice Address - Fax:417-581-6901
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health