Basic Information
| Provider Information | |||||||||
| NPI: | 1558409508 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HORN | ||||||||
| FirstName: | LUCINDA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
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| Credential: | LMHC | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HORN | ||||||||
| OtherFirstName: | CINDY | ||||||||
| OtherMiddleName: | |||||||||
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| OtherCredential: | LMHC | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1611 BERRY RD | ||||||||
| Address2: | |||||||||
| City: | LA FAYETTE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130849571 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3156839443 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 17 MAIN ST | ||||||||
| Address2: | 414 | ||||||||
| City: | CORTLAND | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130456606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157291753 | ||||||||
| FaxNumber: | 6078494730 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 001564 | NY | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.