Provider Demographics
NPI:1932459435
Name:THREADGOULD, JUNE MARIE
Entity Type:Individual
Prefix:MS
First Name:JUNE
Middle Name:MARIE
Last Name:THREADGOULD
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 1:620 WILLOWGATE STREET
Mailing Address - Street 2:UNIT 6
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-4881
Mailing Address - Country:US
Mailing Address - Phone:650-210-6653
Mailing Address - Fax:
Practice Address - Street 1:2625 ZANKER ROAD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-2130
Practice Address - Country:US
Practice Address - Phone:408-325-5120
Practice Address - Fax:408-944-9114
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health