Provider Demographics
NPI:1639693591
Name:HORTON, JAMEE (LSCSW, LCAC)
Entity Type:Individual
Prefix:MRS
First Name:JAMEE
Middle Name:
Last Name:HORTON
Suffix:
Gender:F
Credentials:LSCSW, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 N SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-1911
Mailing Address - Country:US
Mailing Address - Phone:913-961-4937
Mailing Address - Fax:
Practice Address - Street 1:2500 W 31ST ST STE G
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-3051
Practice Address - Country:US
Practice Address - Phone:913-961-4937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS436101YA0400X
KS00742101YA0400X
KS10435104100000X
KS052821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker