Healthcare Provider Details

I. General information

NPI: 1659202919
Provider Name (Legal Business Name): JENNIFER HORN MA, SCL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6589 WALDON RD
CLARKSTON MI
48346-2473
US

IV. Provider business mailing address

155 WOODRIDGE CT
OXFORD MI
48371-5252
US

V. Phone/Fax

Practice location:
  • Phone: 989-277-2008
  • Fax:
Mailing address:
  • Phone: 989-277-2008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: