Provider Demographics
NPI:1275940033
Name:HORTON, MICHELLE ALEXANDRA (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ALEXANDRA
Last Name:HORTON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2747 GATEWAY ROAD
Mailing Address - Street 2:SUITE 105 #524
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009
Mailing Address - Country:US
Mailing Address - Phone:760-282-4646
Mailing Address - Fax:
Practice Address - Street 1:1207 CARLSBAD VILLAGE DR STE N
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1958
Practice Address - Country:US
Practice Address - Phone:760-282-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health