Provider Demographics
NPI:1265128284
Name:HUSKEY, KATLIN (MS, CIT)
Entity type:Individual
Prefix:
First Name:KATLIN
Middle Name:
Last Name:HUSKEY
Suffix:
Gender:F
Credentials:MS, CIT
Other - Prefix:
Other - First Name:KATLIN
Other - Middle Name:
Other - Last Name:HUSKEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CIT
Mailing Address - Street 1:127 SE BRIAR VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64064-7994
Mailing Address - Country:US
Mailing Address - Phone:816-984-9474
Mailing Address - Fax:
Practice Address - Street 1:208 SE 3RD ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2762
Practice Address - Country:US
Practice Address - Phone:816-427-1828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional