Provider Demographics
NPI:1003010851
Name:HUELSKAMP, JUNE (LISW-S)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:
Last Name:HUELSKAMP
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 A ST UNIT 771
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98401-1146
Mailing Address - Country:US
Mailing Address - Phone:513-607-5448
Mailing Address - Fax:
Practice Address - Street 1:1102 A ST UNIT 771
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98401-1146
Practice Address - Country:US
Practice Address - Phone:513-607-5448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0700293-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical