Individual
ALYSSA F HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2550 KIOWA BLVD N STE 200, LAKE HAVASU CITY, AZ 86403-2631
(928) 733-5133
Mailing address
2550 KIOWA BLVD N STE 200, LAKE HAVASU CITY, AZ 86403-2631
(928) 733-5133
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-7287T
AZ
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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