Provider Demographics
NPI:1730380403
Name:YINGLING, DAVID A (MS, LPC,)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:YINGLING
Suffix:
Gender:M
Credentials:MS, LPC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4155 E JEWELL AVE STE 916
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4513
Mailing Address - Country:US
Mailing Address - Phone:303-725-7206
Mailing Address - Fax:
Practice Address - Street 1:4155 E JEWELL AVE # 225-11
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4504
Practice Address - Country:US
Practice Address - Phone:303-757-6019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4200101YP2500X
COLPC.0004200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional