Individual
DAVID HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
109 LEGION AVE, NEW HAVEN, CT 06519-5506
(203) 562-2264
Mailing address
660 WINCHESTER AVE, NEW HAVEN, CT 06511-1969
(203) 776-8390
(203) 776-4176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000393
CT
104100000X
Social Worker
010639
CT
1041C0700X
Clinical Social Worker
Primary
010639
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000393
CTDPH
CT
Enumeration date
10/21/2016
Last updated
12/18/2019
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