Provider Demographics
NPI:1841739067
Name:HLUSKA, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HLUSKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 FOXEN LN
Mailing Address - Street 2:PO 364
Mailing Address - City:LOS ALAMOS
Mailing Address - State:CA
Mailing Address - Zip Code:93440
Mailing Address - Country:US
Mailing Address - Phone:805-757-1451
Mailing Address - Fax:
Practice Address - Street 1:588 FOXEN LN
Practice Address - Street 2:PO 364
Practice Address - City:LOS ALAMOS
Practice Address - State:CA
Practice Address - Zip Code:93440-9344
Practice Address - Country:US
Practice Address - Phone:805-757-1451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0017959101YP2500X
OH47-24-23-666106S00000X
CO24414883101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool