Provider Demographics
NPI:1164486163
Name:HORN, WILLIAM K JR (MS,LPC, CAADC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:K
Last Name:HORN
Suffix:JR
Gender:M
Credentials:MS,LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 BATH PIKE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2466
Mailing Address - Country:US
Mailing Address - Phone:610-867-7770
Mailing Address - Fax:
Practice Address - Street 1:3400 BATH PIKE
Practice Address - Street 2:SUITE 302
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-2466
Practice Address - Country:US
Practice Address - Phone:610-867-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC002914OtherLICENSE NUMBER
PA4615OtherPCB-CAADC