Provider Demographics
NPI:1750399937
Name:COHEN, JUNE ALICE (MA LMHC)
Entity type:Individual
Prefix:MS
First Name:JUNE
Middle Name:ALICE
Last Name:COHEN
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 ROLLING HILL LN
Mailing Address - Street 2:
Mailing Address - City:OLD WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11568-1028
Mailing Address - Country:US
Mailing Address - Phone:516-626-1215
Mailing Address - Fax:
Practice Address - Street 1:33 S SERVICE RD
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-1006
Practice Address - Country:US
Practice Address - Phone:516-750-9708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2033101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health