Provider Demographics
NPI:1346593761
Name:HOREN, LINDA CAROL (EDS, MA)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:CAROL
Last Name:HOREN
Suffix:
Gender:F
Credentials:EDS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:913 W HOLMES RD
Mailing Address - Street 2:SUITE 189
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-0426
Mailing Address - Country:US
Mailing Address - Phone:517-897-6439
Mailing Address - Fax:517-272-4358
Practice Address - Street 1:913 W HOLMES RD
Practice Address - Street 2:SUITE 189
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-0426
Practice Address - Country:US
Practice Address - Phone:517-897-6439
Practice Address - Fax:517-272-4358
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)