Basic Information
| Provider Information | |||||||||
| NPI: | 1285923961 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HORNUNG | ||||||||
| FirstName: | KRISTEN | ||||||||
| MiddleName: | GREIDER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MA, PHD, LPCC #2071 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1819 AVENIDA FLORES | ||||||||
| Address2: | |||||||||
| City: | ENCINITAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920247107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7604569350 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1196 3RD AVE | ||||||||
| Address2: | |||||||||
| City: | CHULA VISTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 919113131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6194274661 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2011 | ||||||||
| LastUpdateDate: | 03/28/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | LPCC 2071 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.