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Ivy Renee Horn
Professional Counselor in Southfield, Michigan
NPI 1104338763

Ivy Renee Horn is a Professional Counselor based in Southfield, MI and is specialized in Professional. Ivy Renee Horn practices in Southfield, MI. The NPI Number for Ivy Renee Horn is 1104338763 and holds a License No. 6401001847 (Michigan).

The current practice location address for Ivy Renee Horn is 29623 Northwestern Hwy Ste 5, Southfield, MI and can be reached out via phone at 248-514-7254.

Location: 29623 Northwestern Hwy Ste 5, Southfield, MI, 48076-3715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104338763
Provider Name
Ivy Renee Horn
Credential
Provider Entity Type
Individual
Gender
Female
Address
29623 Northwestern Hwy Ste 5, Southfield, MI, 48076-3715
Phone Number
248-514-7254
Fax Number
Provider Enumeration Date
11/03/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29623 Northwestern Hwy Ste 5
City
Southfield
State
Michigan
Zip
48034-1076
Phone Number
248-514-7254
Fax Number
person
Provider Business Mailing Address Details
Address
29623 Northwestern Hwy Ste 5
City
Southfield
State
Michigan
Zip
48034-1076
Phone Number
248-514-7254
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401001847 (Michigan)
Definition
Definition to come...
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