Provider Demographics
NPI:1245752344
Name:CASTONGUAY, JUNE (MA, LLPC, CCTP, NCC)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:
Last Name:CASTONGUAY
Suffix:
Gender:F
Credentials:MA, LLPC, CCTP, NCC
Other - Prefix:MS
Other - First Name:JUNE
Other - Middle Name:ELLEN
Other - Last Name:CASTONGUAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3800 HERITAGE AVE STE A2
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-2871
Mailing Address - Country:US
Mailing Address - Phone:517-798-0681
Mailing Address - Fax:517-347-9622
Practice Address - Street 1:3899 OKEMOS RD STE A1
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3666
Practice Address - Country:US
Practice Address - Phone:517-507-5892
Practice Address - Fax:517-258-2951
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016120101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional