Provider Demographics
NPI:1639357916
Name:UNKS, DENISE M (MC)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:UNKS
Suffix:
Gender:F
Credentials:MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5532 E GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1190
Mailing Address - Country:US
Mailing Address - Phone:602-818-6216
Mailing Address - Fax:602-485-1634
Practice Address - Street 1:4930 E GREENWAY RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1625
Practice Address - Country:US
Practice Address - Phone:602-818-6216
Practice Address - Fax:602-485-1634
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-11836101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional