Healthcare Provider Details
I. General information
NPI: 1649443763
Provider Name (Legal Business Name): JUNE KORTE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/09/2008
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2100 PLEASANT AVENUE
HAMILTON OH
45015
US
IV. Provider business mailing address
7779 ROLLING MEADOWS DRIVE
WEST CHESTER OH
45069
US
V. Phone/Fax
- Phone: 513-868-1562
- Fax: 513-558-3880
- Phone: 513-868-1562
- Fax: 513-558-3880
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | E.0003432-SUPV |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: