Provider Demographics
NPI:1750926242
Name:VAN HOUTEN, JUNE HELEN (MA, LCMHC)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:HELEN
Last Name:VAN HOUTEN
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FOSTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST CALAIS
Mailing Address - State:VT
Mailing Address - Zip Code:05650-8075
Mailing Address - Country:US
Mailing Address - Phone:802-793-8271
Mailing Address - Fax:
Practice Address - Street 1:28 E STATE ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3087
Practice Address - Country:US
Practice Address - Phone:802-793-8271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0134182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health