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General NPI Number Information
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NPI Number | 1730852815
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Entity Type | Organization
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Legal Business Name | DR. CELENA HORTON, LICENSED CLINICAL SOCIAL WORKER, INC.
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 11799 SEBASTIAN WAY STE 103
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0708
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Country | US
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Telephone | 909-428-7241
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Fax | 833-788-9931
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Provider Business Mailing Address
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Address Line | PO BOX 311220
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City | FONTANA
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State | CA
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Zip | 92331-1220
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Country | US
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Telephone | 909-428-7241
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CELENA HORTON
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Credential | PSY.D., LCSW
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Telephone | 909-428-7241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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