Provider Demographics
NPI:1457571978
Name:HORNER, DENISE EMILY
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:EMILY
Last Name:HORNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17845 BEACH AVE
Mailing Address - Street 2:
Mailing Address - City:GUERNEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95446-9711
Mailing Address - Country:US
Mailing Address - Phone:707-887-2338
Mailing Address - Fax:707-865-3151
Practice Address - Street 1:19375 HIGHWAY 116
Practice Address - Street 2:
Practice Address - City:MONTE RIO
Practice Address - State:CA
Practice Address - Zip Code:95462-0519
Practice Address - Country:US
Practice Address - Phone:707-865-1200
Practice Address - Fax:707-865-3151
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 42325101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health