Provider Demographics
NPI:1164638045
Name:SANO, JUNE YUKIKO
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:YUKIKO
Last Name:SANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 W MAIN ST
Mailing Address - Street 2:202
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1694
Mailing Address - Country:US
Mailing Address - Phone:626-457-2900
Mailing Address - Fax:626-457-2904
Practice Address - Street 1:2550 W MAIN ST
Practice Address - Street 2:202
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-1694
Practice Address - Country:US
Practice Address - Phone:626-457-2900
Practice Address - Fax:626-457-2904
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT31474106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist