Provider Demographics
NPI:1861123820
Name:HORN, AUTUMN (LPC)
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:
Last Name:HORN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 RIVER ST STE 3E-1
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5626
Mailing Address - Country:US
Mailing Address - Phone:201-677-5242
Mailing Address - Fax:
Practice Address - Street 1:80 RIVER ST STE 3E-1
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5626
Practice Address - Country:US
Practice Address - Phone:201-677-5242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NJ37AC00621700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health