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Gerry Wade Funkhouser JR., PLPC
Counselor in Rolla, Missouri
NPI 1427567726

Gerry Wade Funkhouser JR. is a Counselor based in Rolla, MO. Gerry Wade Funkhouser JR. practices in Rolla, MO and has the professional credentials of PLPC. The NPI Number for Gerry Wade Funkhouser JR. is 1427567726 and holds a License No. 2017034374 (Missouri).

The current practice location address for Gerry Wade Funkhouser JR. is 103 W 10Th St, Rolla, MO and can be reached out via phone at 833-338-4673. You can also correspond with Gerry Wade Funkhouser JR. through the mailing address at 1700 ASHWOOD DR APT 7, ROLLA, MO - 65401-0102 (mailing address contact number: 636-465-4356).

Location: 103 W 10Th St, Rolla, MO, 65401-0102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427567726
Provider Name
Gerry Wade Funkhouser JR.
Credential
PLPC
Provider Entity Type
Individual
Gender
Male
Address
103 W 10Th St, Rolla, MO, 65401-0102
Phone Number
833-338-4673
Fax Number
Provider Enumeration Date
09/29/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427567726 05 MO
institution
Provider Business Practice Location Address Details
Address
103 W 10Th St
City
Rolla
State
Missouri
Zip
65401
Phone Number
833-338-4673
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Ashwood Dr Apt 7
City
Rolla
State
Missouri
Zip
65401-0102
Phone Number
636-465-4356
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2017034374 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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