| Doctor Name: | KATHLEEN MARIE HORTON |
| NPI Number: | 1427212281 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3598 |
| Business Practice Address: | Route 1 Box 35 D Boley, OK - 748290295 |
| Business Phone Number: | 9186679967 |
| Business Fax Number: | 9186673387 |
| Mailing Address: | Po Box 295, BOLEY |
| State: | OK |
| Postal Code: | 748290295 |
| Phone Number: | 9186679967 |
| Fax Number: | 9186673387 |
| NPI Enumeration Date: | 07/10/2008 |
| NPI Last Update Date: | 06/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |