Individual provider · Type 1 NPI
Gwendolyn Lavorn Horton, MHS, LCAC
Addiction (Substance Use Disorder) Counselor · Dyer, IN
NPI number
1487990826
Active
Practice location
24 Joliet St
Dyer, IN 46311-1705
Fax (219) 864-2147
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 87000621A (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1487990826
Gwendolyn Lavorn Horton, MHS, LCAC's National Provider Identifier is 1487990826, issued on Dec 12, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dyer, IN. The record was last updated on Mar 13, 2021.