Provider Demographics
NPI:1437491081
Name:HUSEMAN, SHARON A (CAC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:HUSEMAN
Suffix:
Gender:F
Credentials:CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 PALM BEACH LAKES BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3411
Mailing Address - Country:US
Mailing Address - Phone:561-684-7300
Mailing Address - Fax:561-684-7450
Practice Address - Street 1:2050 PROCTOR RD
Practice Address - Street 2:SUITE C
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-4366
Practice Address - Country:US
Practice Address - Phone:561-684-7300
Practice Address - Fax:561-684-7450
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)