Healthcare Provider Details

I. General information

NPI: 1437321171
Provider Name (Legal Business Name): NICOLE T HORNE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 KELLOGG ST
SAN MARCOS CA
92078-7304
US

IV. Provider business mailing address

346 KELLOGG ST
SAN MARCOS CA
92078-7304
US

V. Phone/Fax

Practice location:
  • Phone: 951-547-0024
  • Fax: 760-560-4512
Mailing address:
  • Phone: 951-547-0024
  • Fax: 760-560-4512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number78932
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: