Healthcare Provider Details

I. General information

NPI: 1609065044
Provider Name (Legal Business Name): DARLENE HORTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 N MAIN ST
CEDAR CITY UT
84720-2644
US

IV. Provider business mailing address

4778 W 2100 N
CEDAR CITY UT
84720-7846
US

V. Phone/Fax

Practice location:
  • Phone: 435-867-6471
  • Fax:
Mailing address:
  • Phone: 435-867-6471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4836745-6004
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: