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NPI Code Detail

MEDICARE: DR. CELENA HORTON PSY.D, LCSW

MEDICARE: DR. CELENA HORTON PSY.D, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker88212CA

General Provider Information

NPI Number : 1215232376
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CELENA HORTON PSY.D, LCSW
Provider Business Mailing Address
First Line : PO BOX 311220
Second Line :
City : FONTANA
State : CA
Zip : 92331-1220
Country : US
Telephone Number : 323-222-4591
Fax Number :
Provider Business Practice Location Address
First Line : 11799 SEBASTIAN WAY STE 103
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-0708
Country : US
Telephone Number : 909-428-7241
Fax Number : 833-788-9931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2011
Last Update Date : 01/29/2022

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