Individual provider · Type 1 NPI
Malisa Funderburk
Counselor · Buford, GA
NPI number
1407589211
Active
Practice location
4330 S Lee St Ste 600
Buford, GA 30518-5795
Mailing address
4992 Price Dr
Suwanee, GA 30024-4186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: 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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About NPI 1407589211
Malisa Funderburk's National Provider Identifier is 1407589211, issued on Jul 8, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Buford, GA. The record was last updated on Jul 8, 2022.