Provider Demographics
NPI:1063797025
Name:RICE, JUNE MARIE (LPC)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:MARIE
Last Name:RICE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JUNE
Other - Middle Name:MARIE
Other - Last Name:SCHAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:337 OLD KAHLE RD
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301
Mailing Address - Country:US
Mailing Address - Phone:814-677-3069
Mailing Address - Fax:814-677-3069
Practice Address - Street 1:337 OLD KAHLE RD
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301
Practice Address - Country:US
Practice Address - Phone:814-677-3069
Practice Address - Fax:814-677-3069
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005474101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional