Provider Demographics
NPI:1538793328
Name:HORNING, JAN ELAINE (LMHC)
Entity type:Individual
Prefix:MS
First Name:JAN
Middle Name:ELAINE
Last Name:HORNING
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 165TH AVE NE STE 210
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-6628
Mailing Address - Country:US
Mailing Address - Phone:206-228-1944
Mailing Address - Fax:
Practice Address - Street 1:8250 165TH AVE NE STE 210
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-6628
Practice Address - Country:US
Practice Address - Phone:425-880-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006369101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1407123250OtherNPPES