Provider Demographics
NPI:1538496997
Name:HUSEBYE, KIRSTEN C (MS)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:C
Last Name:HUSEBYE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9244
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58106-9244
Mailing Address - Country:US
Mailing Address - Phone:701-433-2235
Mailing Address - Fax:701-301-8535
Practice Address - Street 1:1336 25TH AVE S STE 211
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-5202
Practice Address - Country:US
Practice Address - Phone:701-433-2235
Practice Address - Fax:701-301-8535
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
ND765-10-1-13-336101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor