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General NPI Number Information
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NPI Number | 1558409508
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Entity Type | Individual
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Provider Name | LUCINDA HORN LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17 MAIN ST 414
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City | CORTLAND
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State | NY
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Zip | 13045-6606
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Country | US
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Telephone | 315-729-1753
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Fax | 607-849-4730
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Provider Business Mailing Address
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Address Line | 1611 BERRY RD
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City | LA FAYETTE
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State | NY
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Zip | 13084-9571
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Country | US
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Telephone | 315-683-9443
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001564
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License Number State | NY
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