Provider Demographics
NPI:1871051441
Name:HORTON, GAIL VANN (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:VANN
Last Name:HORTON
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9514 ARROWHEAD TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-3079
Mailing Address - Country:US
Mailing Address - Phone:713-382-5201
Mailing Address - Fax:
Practice Address - Street 1:9514 ARROWHEAD TERRACE LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3079
Practice Address - Country:US
Practice Address - Phone:713-382-5201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-03
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12114101YA0400X
TX73701101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)