Provider Demographics
NPI:1528370103
Name:HORTON, STEFANIE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:
Last Name:HORTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 E HENRIETTA RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4213
Mailing Address - Country:US
Mailing Address - Phone:585-244-0570
Mailing Address - Fax:585-844-0205
Practice Address - Street 1:151 E HENRIETTA RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4213
Practice Address - Country:US
Practice Address - Phone:585-244-0570
Practice Address - Fax:585-844-0205
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080140101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor