Whalio Doctors

NPI 1023343878

June Coravos, LCPCLADCCCS

Practitioner Counselor South Portland, ME

Practice location

Address
525 Main St, South Portland, ME 04106-5462
Phone
(207) 874-1045
Fax
(207) 767-0995

Registered specialties (3)

Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence LC1893 (ME)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence CCS3578 (ME)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence CC1743 (ME)

Registry record

NPI
1023343878
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Oct 2009
Record last updated
14 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.