Crystal Dianne Horton, LCSW
Social Worker, Clinical in San Diego, CA. Individual provider (NPI-1).
NPI number1114587797
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1114587797
- Entity type
- Individual (NPI-1)
- Name
- Crystal Dianne Horton
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2019
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 114085 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Crystal Horton-Taylor (Other Name)
Practice location
2130 National AveSan Diego, CA 92113-2209
Phone 619-515-2300
Mailing address
823 Gateway Center WaySan Diego, CA 92102-4541
Phone 619-515-2300
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