Basic Information
| Provider Information | |||||||||
| NPI: | 1801955638 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HORN | ||||||||
| FirstName: | HELEN | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3131 | ||||||||
| Address2: | |||||||||
| City: | WRIGHTWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923973131 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 14360 ST ANDREWS DR | ||||||||
| Address2: | STE. 11 | ||||||||
| City: | VICTORVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923954358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7602435417 | ||||||||
| FaxNumber: | 7602455896 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2006 | ||||||||
| LastUpdateDate: | 11/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | LCS22030 | CA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.