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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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.