Provider Demographics
NPI:1598239535
Name:HORTON, SHEILA ELAINE (LPC-S, CDS)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ELAINE
Last Name:HORTON
Suffix:
Gender:F
Credentials:LPC-S, CDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24337 RAMBLER RD
Mailing Address - Street 2:
Mailing Address - City:CHUGIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99567-5531
Mailing Address - Country:US
Mailing Address - Phone:907-942-9019
Mailing Address - Fax:
Practice Address - Street 1:24337 RAMBLER RD
Practice Address - Street 2:
Practice Address - City:CHUGIAK
Practice Address - State:AK
Practice Address - Zip Code:99567-5531
Practice Address - Country:US
Practice Address - Phone:907-942-9019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-12
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3860101YA0400X
AK638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)