Doctor Name: | PATRICIA R HORTON |
NPI Number: | 1083739890 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 3694 |
Business Practice Address: | 1011 Allen Street Estancia, NM - 87016 |
Business Phone Number: | 5053840220 |
Business Fax Number: | 5053840222 |
Mailing Address: | Po Box 518, LOS LUNAS |
State: | NM |
Postal Code: | 870310518 |
Phone Number: | 5058653350 |
Fax Number: | 5058654739 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 3694 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |