June P Christian, LMHC
Individual provider Active NPI Mental Health Counselor · Shirley, NY
NPI 1376855965 · NPPES record last updated Jul 12, 2010
Key facts
- NPI
- 1376855965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 004462-1 (NY)
- Practice address
- 112 Crestwood Dr
Shirley, NY 11967-1343 - Phone
- (516) 924-7139
- NPI assigned
- Jul 12, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004462-1 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004462-1 | NY | Yes |
Addresses
Primary practice location
112 Crestwood Dr
Shirley, NY 11967-1343
Mailing address
112 Crestwood Dr
Shirley, NY 11967-1343
Phone (516) 924-7139
Other providers in Shirley, NY
- Karen Chamberlain I
- Sandra Ann Chaney
- Samantha Chang
- Kayla Marie Chiaramonte I
- Donghun Choi
- Christopher Horsford PT PC
- Christian Ciarlo
- Dawn Marie Cidoni
- City Medical of Upper East Side, PLLC
- Virginia Cleary
All providers in Shirley, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.