Individual provider · Type 1 NPI
Mayo R. Funderburg Ii, LADCA
Addiction (Substance Use Disorder) Counselor · Nantucket, MA
NPI number
1053612192
Active
Practice location
20 Vesper Ln Unit L1
Nantucket, MA 02554-4394
Fax (508) 228-3613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2282 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
6 other providers at this address
- Alison Lee UprightCounselor Nantucket, MA NPI 1255142329
- Evie O'Connor, BSCounselor Nantucket, MA NPI 1750829180
- Kate WernerMental Health Counselor Nantucket, MA NPI 1902573736
- Megan Harvey, MSWClinical Social Worker Nantucket, MA NPI 1982074829
- Nancy Palchanis Funderburg, LCSWSocial Worker Nantucket, MA NPI 1124271788
- Tessandra Noel De Alberdi Visco, MS, CRCMental Health Counselor Nantucket, MA NPI 1457645889
Other addiction (substance use disorder) counselor providers in Nantucket
About NPI 1053612192
Mayo R. Funderburg Ii, LADCA's National Provider Identifier is 1053612192, issued on Nov 5, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nantucket, MA. The record was last updated on Nov 5, 2010.