Provider Demographics
NPI:1376930503
Name:CADE, JUNE (MA EDUCATION)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:
Last Name:CADE
Suffix:
Gender:F
Credentials:MA EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 282
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419-0282
Mailing Address - Country:US
Mailing Address - Phone:973-595-0900
Mailing Address - Fax:973-595-0933
Practice Address - Street 1:193 HALEDON AVE
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07522-1272
Practice Address - Country:US
Practice Address - Phone:973-595-0900
Practice Address - Fax:973-595-0933
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-26
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ552955101YM0800X, 174400000X, 222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist