person
Russell Owen Funk, MS
Mental Health Counselor in Chehalis, Washington
NPI 1467505636

Russell Owen Funk is a Mental Health Counselor based in Castle Rock, WA and is specialized in Mental Health. Russell Owen Funk practices in Chehalis, WA and has the professional credentials of MS. The NPI Number for Russell Owen Funk is 1467505636 and holds a License No. LH00006320 (Washington).

The current practice location address for Russell Owen Funk is 135 W Main St, Chehalis, WA and can be reached out via phone at 360-748-6696 and via fax at 360-748-0627.

Location: 135 W Main St, Chehalis, WA, 98611-0491
person
Provider Profile Details
NPI Number
1467505636
Provider Name
Russell Owen Funk
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
135 W Main St, Chehalis, WA, 98611-0491
Phone Number
360-748-6696
Fax Number
360-748-0627
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
135 W Main St
City
State
Zip
98532-4817
Phone Number
360-748-6696
Fax Number
360-748-0627
person
Provider Business Mailing Address Details
Address
135 W Main St
City
State
Zip
98532-4817
Phone Number
360-748-6696
Fax Number
360-748-0627
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH00006320 (Washington)
Definition
Definition to come...
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