| Stacey Horn, Lcsw | |
|
137 Main St Unit O-201 Edwards CO 81632 | |
| (970) 440-9132 | |
| (970) 328-7832 |
| Full Name | Stacey Horn, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 137 Main St Unit O-201, Edwards, Colorado |
| Authorized Official Name and Position | Stacey Horn (OWNER) |
| Authorized Official Contact | 9704401324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Horn, Lcsw Po Box 6042 Eagle CO 81631-6042 Ph: (970) 440-9132 | Stacey Horn, Lcsw 137 Main St Unit O-201 Edwards CO 81632 Ph: (970) 440-9132 |
| NPI Number | 1912243858 |
|---|---|
| Provider Enumeration Date | 12/21/2012 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912243858 | NPI | - | NPPES |
| 38820773 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 639 (Colorado) | Primary |
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