Doctor Name: | MS. JEANNE MICHELE HORTON |
NPI Number: | 1144433228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180.004259 |
Business Practice Address: | 206 W 5th St Metropolis, IL - 629601810 |
Business Phone Number: | 6185249368 |
Business Fax Number: | |
Mailing Address: | Po Box 662, HARRISBURG |
State: | IL |
Postal Code: | 629460662 |
Phone Number: | 6182521373 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 01/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180.004259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |