| Doctor Name: | MR. GREGORY D HORNBACK |
| NPI Number: | 1457356982 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 0701002919 |
| Business Practice Address: | 1450 Roanoke Rd Daleville, VA - 240832935 |
| Business Phone Number: | 5405264673 |
| Business Fax Number: | 5405919914 |
| Mailing Address: | Po Box 332, DALEVILLE |
| State: | VA |
| Postal Code: | 240830332 |
| Phone Number: | 5405264673 |
| Fax Number: | 5405919911 |
| NPI Enumeration Date: | 06/21/2005 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0701002919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |