Horton, Beverly Jean

Horton, Beverly Jean is an individual health care provider with primary practice located at 463 S. Lake Powell Blvd , Page AZ 86040. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Horton, Beverly Jean can be contacted via phone (928) 645-5113.

Contact Information

Primary practice address
463 S. Lake Powell Blvd Page AZ 86040
Phone: (928) 645-5113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-2210 Arizona

Profile Details

NPI number 1275598682
LBN Legal business name Horton, Beverly Jean
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275598682 NPPES
Arizona MEDICAID 832841
Arizona Other LPC-2210

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