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NPI Code Detail

MEDICARE: MS. EVETTE HORTON M.ED.

MEDICARE: MS. EVETTE HORTON M.ED.
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
1101YM0800XMental Health Counselor5467NC

General Provider Information

NPI Number : 1841385143
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EVETTE HORTON M.ED.
Provider Business Mailing Address
First Line : 616 CARL DRIVE
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-9345
Country : US
Telephone Number : 919-942-7480
Fax Number : 919-942-9626
Provider Business Practice Location Address
First Line : 616 CARL DRIVE
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-9345
Country : US
Telephone Number : 919-942-7480
Fax Number : 919-942-9626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ MS. EVETTE HORTON M.ED.” Practice Location

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