Individual
MS. JUNE ROXANNE MAYORCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAP / LMHC
Contact information
Practice address
308 N 58TH AVE, PENSACOLA, FL 32506-5290
(850) 324-2634
(850) 588-4276
Mailing address
308 N 58TH AVE, PENSACOLA, FL 32506-5290
(850) 324-2634
(850) 588-4276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2651
FL
101YP2500X
Professional Counselor
Primary
MH9407
FL
251B00000X
Case Management Agency
—
FL
251S00000X
Community/Behavioral Health Agency
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780806414
—
FL
Enumeration date
05/03/2007
Last updated
08/26/2019
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