Provider Demographics
NPI:1790815983
Name:TEKER, SUNI (LCSW)
Entity type:Individual
Prefix:MS
First Name:SUNI
Middle Name:
Last Name:TEKER
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 1:1109 SISKIYOU BLVD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520
Mailing Address - Country:US
Mailing Address - Phone:541-941-8636
Mailing Address - Fax:888-776-9929
Practice Address - Street 1:1109 SISKIYOU BLVD.
Practice Address - Street 2:SUITE A
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520
Practice Address - Country:US
Practice Address - Phone:541-941-8636
Practice Address - Fax:888-776-9929
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL32911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORL3291OtherLICENSE NUMBER