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NPI Code Detail

MEDICARE: JACEY J YUNKER LCSW

MEDICARE:   JACEY J YUNKER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801077340MI
21041C0700XClinical Social Worker149.011230IL
31041C0700XClinical Social Worker079826-1NY
41041C0700XClinical Social WorkerCSW005339GA
51041C0700XClinical Social WorkerCSW.09927855CO

General Provider Information

NPI Number : 1942219662
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACEY J YUNKER LCSW
Provider Business Mailing Address
First Line : 7173 S HAVANA ST STE 600-5
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-3891
Country : US
Telephone Number : 720-202-8311
Fax Number : 303-927-7726
Provider Business Practice Location Address
First Line : 7173 S HAVANA ST STE 600-5T
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-3891
Country : US
Telephone Number : 720-202-8311
Fax Number : 303-927-7726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 03/24/2023

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Directions to “ JACEY J YUNKER LCSW” Practice Location

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