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Individual
JUNE CORAVOS
Active
Individual
JUNE CORAVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC,LADC,CCS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC1743
ME
101Y00000X
Counselor
CCS3578
ME
101Y00000X
Counselor
Primary
LC1893
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213220099
—
ME
Enumeration date
10/13/2009
Last updated
10/14/2009
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