Provider Demographics
NPI:1013147933
Name:YUNICK, CHRISTOPHER DAVIS (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DAVIS
Last Name:YUNICK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39185 ELM TRL
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63565-3649
Mailing Address - Country:US
Mailing Address - Phone:660-355-4332
Mailing Address - Fax:
Practice Address - Street 1:39185 ELM TRL
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:MO
Practice Address - Zip Code:63565-3649
Practice Address - Country:US
Practice Address - Phone:660-355-4332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004000601101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2004000601OtherLICENSED PROFESSIONAL COUNSELOR