Individual
MICHAEL JAY HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463
(907) 334-0143
(907) 563-2891
Mailing address
24337 RAMBLER RD, CHUGIAK, AK 99567-5531
(907) 512-6969
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11-044-BHP
AK
101YA0400X
Addiction (Substance Use Disorder) Counselor
2886
AK
101YP2500X
Professional Counselor
Primary
616
AK
Other
Enumeration date
11/04/2013
Last updated
02/17/2016
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