Provider Demographics
NPI:1801260500
Name:JACEY J. YUNKER, LCSW, COUNSELING, LLC
Entity type:Organization
Organization Name:JACEY J. YUNKER, LCSW, COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JACEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:YUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-202-8311
Mailing Address - Street 1:7173 S HAVANA ST STE 600-5
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3891
Mailing Address - Country:US
Mailing Address - Phone:720-202-8311
Mailing Address - Fax:303-927-7726
Practice Address - Street 1:7173 S HAVANA ST STE 600-5
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3891
Practice Address - Country:US
Practice Address - Phone:720-202-8311
Practice Address - Fax:303-927-7726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-18
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty