Provider Demographics
NPI:1265776538
Name:HORN, AIMEE BETH (MED, LMHC, NCC)
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:BETH
Last Name:HORN
Suffix:
Gender:F
Credentials:MED, LMHC, NCC
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:BETH
Other - Last Name:YANOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LMHC
Mailing Address - Street 1:200 W MERCER ST STE 111
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3958
Mailing Address - Country:US
Mailing Address - Phone:425-341-3618
Mailing Address - Fax:
Practice Address - Street 1:200 W MERCER ST STE 111
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3958
Practice Address - Country:US
Practice Address - Phone:425-341-3618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60663715101YM0800X
101YS0200X
WAMHC.LH.60967158101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTBBH-LCPC-LIC-53892OtherLICENSED CLINICAL PROFESSIONAL COUNSELOR