Provider Demographics
NPI:1578061628
Name:MCDOWELL-HORN, NICOLE J (LMHC, LPC-A)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:J
Last Name:MCDOWELL-HORN
Suffix:
Gender:
Credentials:LMHC, LPC-A
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:JUNE
Other - Last Name:STANFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:412 S AVENUE F APT 304
Mailing Address - Street 2:
Mailing Address - City:TEXICO
Mailing Address - State:NM
Mailing Address - Zip Code:88135-9663
Mailing Address - Country:US
Mailing Address - Phone:575-309-1286
Mailing Address - Fax:
Practice Address - Street 1:412 S AVENUE F APT 304
Practice Address - Street 2:
Practice Address - City:TEXICO
Practice Address - State:NM
Practice Address - Zip Code:88135-9663
Practice Address - Country:US
Practice Address - Phone:575-309-1286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97385101YM0800X
NMCTB-2023-0742101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3293011Medicaid