Provider Demographics
NPI:1205849825
Name:HORSLEY, DEBRA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:HORSLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:HORSLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:332 SOUTH JUNIPER STREET SUITE 203B
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025
Mailing Address - Country:US
Mailing Address - Phone:760-233-7730
Mailing Address - Fax:760-233-5631
Practice Address - Street 1:332 SOUTH JUNIPER STREET SUITE 203B
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-233-7730
Practice Address - Fax:760-233-5631
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS159741041C0700X
CA15974104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical