Most Relevant Information
Provider Data
| NPI Number: | 1003241787 |
| Provider Name: | VIRGINIA A. HORTON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | LCS21278 |
Most Important Dates
| Enumeration Date: | 09/12/2013 |
| Last Updated: | 09/12/2013 |
Provider Practice Location
2020 COFFEE ROAD, SUITE H-4
MODESTO
CA
95355
Practice Location Phone/Fax
| Phone: | 2096134255 |
| Fax: | 2095671015 |
Provider Mailing Location
4213 PRAIRIE CREEK WAY
MODESTO
CA
953558929
Provider Mailing Phone/Fax
| Phone: | 2096134255 |
| Fax: | 2095671015 |