Provider Demographics
NPI:1174818256
Name:HOSEY, HENRY PLEASANT (M ED, MA)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:PLEASANT
Last Name:HOSEY
Suffix:
Gender:M
Credentials:M ED, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-2744
Mailing Address - Country:US
Mailing Address - Phone:541-779-2393
Mailing Address - Fax:541-779-3317
Practice Address - Street 1:201 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-2744
Practice Address - Country:US
Practice Address - Phone:541-779-2393
Practice Address - Fax:541-779-3317
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor