Provider Demographics
NPI:1376506576
Name:YOUNKER, JILL SEHER (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:SEHER
Last Name:YOUNKER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 LLOYDS RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-7638
Mailing Address - Country:US
Mailing Address - Phone:540-955-1700
Mailing Address - Fax:540-955-6000
Practice Address - Street 1:101 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611-1301
Practice Address - Country:US
Practice Address - Phone:540-955-1700
Practice Address - Fax:540-955-6000
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003545101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA278979OtherANTHEM BC/BS