Doctor Name: | JEANNETTE MAE HORTON |
NPI Number: | 1063653616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | CP60115601 |
Business Practice Address: | 112 12th Street Yelm, WA - 985979656 |
Business Phone Number: | 3607782249 |
Business Fax Number: | |
Mailing Address: | Po Box 45610, OLYMPIA |
State: | WA |
Postal Code: | 985045610 |
Phone Number: | 3607782449 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2009 |
NPI Last Update Date: | 12/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP60115601 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |