Individual provider · Type 1 NPI

Russell Owen Funk, M.S.

Mental Health Counselor · Chehalis, WA

NPI number 1467505636 Active

Practice location

135 W Main St
Chehalis, WA 98532-4817

Call (360) 748-6696 Map

Fax (360) 748-0627

Mailing address

PO Box 491
Castle Rock, WA 98611-0491

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH00006320 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1467505636

Russell Owen Funk, M.S.'s National Provider Identifier is 1467505636, issued on Jan 19, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chehalis, WA. The record was last updated on Jul 8, 2007.