Provider Demographics
NPI:1831495399
Name:HUSEBY, APRIL H (LCSW)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:H
Last Name:HUSEBY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHANA
Other - Middle Name:
Other - Last Name:HUSEBY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:14 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7332
Mailing Address - Country:US
Mailing Address - Phone:541-631-8755
Mailing Address - Fax:
Practice Address - Street 1:140 SOUTH HOLLY STREET
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501
Practice Address - Country:US
Practice Address - Phone:541-774-8200
Practice Address - Fax:541-774-7964
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2015-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health