Provider Demographics
NPI:1447410824
Name:ROSENA, JUNE MARY (PHD MFT)
Entity Type:Individual
Prefix:DR
First Name:JUNE
Middle Name:MARY
Last Name:ROSENA
Suffix:
Gender:F
Credentials:PHD MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12725 VENTURA BLVD
Mailing Address - Street 2:SUITE K
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604
Mailing Address - Country:US
Mailing Address - Phone:818-763-2745
Mailing Address - Fax:818-763-6876
Practice Address - Street 1:12725 VENTURA BLVD
Practice Address - Street 2:SUITE K
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604
Practice Address - Country:US
Practice Address - Phone:818-763-2745
Practice Address - Fax:818-763-6876
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36413106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist