Provider Demographics
NPI:1174225320
Name:SCHUNCK, JOAN THERESA
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:THERESA
Last Name:SCHUNCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 LAMAR ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-5036
Mailing Address - Country:US
Mailing Address - Phone:303-942-1101
Mailing Address - Fax:
Practice Address - Street 1:8600 RALSTON RD STE 109
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2372
Practice Address - Country:US
Practice Address - Phone:303-981-9538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0021778101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health