Individual provider · Type 1 NPI

Joan Rosen Funk, LCSW, PhD

Mental Health Counselor · Marietta, GA

NPI number 1083614671 Active

Practice location

1640 Powers Ferry Rd, Bldg 17 Ste 100
Marietta, GA 30067-5491

Call (770) 426-9929 Map

Fax (770) 426-8293

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2669 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1083614671

Joan Rosen Funk, LCSW, PhD's National Provider Identifier is 1083614671, issued on Jul 26, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marietta, GA. The record was last updated on Jul 26, 2011.