Doctor Name: | MS. LOIS EILLEEN HUSBY |
NPI Number: | 1053597658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, MSWCM, CAC-R |
License Number: | 6401006053 |
Business Practice Address: | 705 S Mead St Saint Johns, MI - 488792223 |
Business Phone Number: | 9892240842 |
Business Fax Number: | 5173642310 |
Mailing Address: | 705 S Mead St, SAINT JOHNS |
State: | MI |
Postal Code: | 488792223 |
Phone Number: | 9892240842 |
Fax Number: | 5173642310 |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401006053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |