Provider Demographics
NPI:1043361389
Name:HORTON, ANN LOUISE KAHLE (MFT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LOUISE KAHLE
Last Name:HORTON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 BAKERS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95470-6404
Mailing Address - Country:US
Mailing Address - Phone:707-462-1850
Mailing Address - Fax:
Practice Address - Street 1:12200 BAKERS CREEK RD
Practice Address - Street 2:
Practice Address - City:REDWOOD VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95470-6404
Practice Address - Country:US
Practice Address - Phone:707-272-7806
Practice Address - Fax:707-306-7402
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC14017106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist