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Pamela D Funderburk
Peer Specialist in Inglewood, California
NPI 1861115016

Pamela D Funderburk is a Peer Specialist based in Inglewood, CA. Pamela D Funderburk practices in Inglewood, CA. The NPI Number for Pamela D Funderburk is 1861115016 and holds a License No. (California).

The current practice location address for Pamela D Funderburk is 337 W Queen St Apt 8, Inglewood, CA and can be reached out via phone at 310-590-0006.

Location: 337 W Queen St Apt 8, Inglewood, CA, 90301-5148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861115016
Provider Name
Pamela D Funderburk
Credential
Provider Entity Type
Individual
Gender
Female
Address
337 W Queen St Apt 8, Inglewood, CA, 90301-5148
Phone Number
310-590-0006
Fax Number
Provider Enumeration Date
09/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
337 W Queen St Apt 8
City
Inglewood
State
California
Zip
90301-5148
Phone Number
310-590-0006
Fax Number
person
Provider Business Mailing Address Details
Address
337 W Queen St Apt 8
City
Inglewood
State
California
Zip
90301-5148
Phone Number
310-590-0006
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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