Provider Demographics
NPI:1811665631
Name:YURKUNAS, MARGARET (LPC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:YURKUNAS
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 1:2385 ANDREW DR
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8303
Mailing Address - Country:US
Mailing Address - Phone:720-481-9908
Mailing Address - Fax:
Practice Address - Street 1:2385 ANDREW DR
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-8303
Practice Address - Country:US
Practice Address - Phone:720-481-9908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-06
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401003871101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6401003871OtherSTATE OF MICHIGAN