Provider Demographics
NPI:1770896359
Name:DENKER, ILONA Y (LPC)
Entity type:Individual
Prefix:
First Name:ILONA
Middle Name:Y
Last Name:DENKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ILONA
Other - Middle Name:Y
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:530 E 34TH ST
Mailing Address - Street 2:P.O. BOX 2526
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-3924
Mailing Address - Country:US
Mailing Address - Phone:417-347-7545
Mailing Address - Fax:417-347-7549
Practice Address - Street 1:530 E 34TH ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3924
Practice Address - Country:US
Practice Address - Phone:417-347-7545
Practice Address - Fax:417-347-7549
Is Sole Proprietor?:No
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002012512101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional