Provider Demographics
NPI:1356705271
Name:KILLION, JUNA KAY (LMSW)
Entity type:Individual
Prefix:
First Name:JUNA
Middle Name:KAY
Last Name:KILLION
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:JUNA
Other - Middle Name:KAY
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:4829 E BELTLINE AVE NE STE 302
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-9350
Mailing Address - Country:US
Mailing Address - Phone:616-226-6522
Mailing Address - Fax:616-608-6751
Practice Address - Street 1:4829 E BELTLINE AVE NE STE 302
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-9350
Practice Address - Country:US
Practice Address - Phone:616-226-6522
Practice Address - Fax:616-608-6751
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011106951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical