Provider Demographics
NPI:1942219662
Name:YUNKER, JACEY J (LCSW)
Entity Type:Individual
Prefix:
First Name:JACEY
Middle Name:J
Last Name:YUNKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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 600-5T
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010773401041C0700X
IL149.0112301041C0700X
NY079826-11041C0700X
GACSW0053391041C0700X
COCSW.099278551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical