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Individual

MRS. MATTIE HORTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LICDC-CS

Contact information

Practice address
3021 VERNON PL, SUITE 2, CINCINNATI, OH 45219-2417
(513) 541-7099
(513) 541-0989
Mailing address
3021 VERNON PL, SUITE 2, CINCINNATI, OH 45219-2417
(513) 541-7099
(513) 541-0989

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101078
OH
101Y00000X
Counselor
Primary
C.0004490
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
101078
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.101078
OH
101YP2500X
Professional Counselor
0004490
OH

Other

Enumeration date
03/30/2016
Last updated
02/08/2023
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