Provider Demographics
NPI:1841445467
Name:RILEY, JUNE RUTH (JUNE RILEY, MS,MFT)
Entity type:Individual
Prefix:MS
First Name:JUNE
Middle Name:RUTH
Last Name:RILEY
Suffix:
Gender:F
Credentials:JUNE RILEY, MS,MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20688 4TH ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5894
Mailing Address - Country:US
Mailing Address - Phone:408-450-9616
Mailing Address - Fax:408-867-5222
Practice Address - Street 1:20688 4TH ST
Practice Address - Street 2:SUITE 8
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-5894
Practice Address - Country:US
Practice Address - Phone:408-450-9616
Practice Address - Fax:408-867-5222
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15580106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist