Individual provider · Type 1 NPI
Trudylynn Birkemeyer Funk, LCSW
Addiction (Substance Use Disorder) Counselor · Jackson, WY
NPI number
1649509084
Active
Practice location
610 W. Broadway Suites, Suite L1
Jackson, WY 83001
Fax (307) 734-0017
Mailing address
PO Box 11390
Jackson, WY 83002-1390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 384 (WY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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- Ryan Burke, LPCAddiction (Substance Use Disorder) Counselor Jackson, WY NPI 1265844815
- Eddie Ryan, LCSWAddiction (Substance Use Disorder) Counselor Jackson, WY NPI 1629307558
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- Curtis E. Cretal, MACAddiction (Substance Use Disorder) Counselor Jackson, WY NPI 1861625402
About NPI 1649509084
Trudylynn Birkemeyer Funk, LCSW's National Provider Identifier is 1649509084, issued on Dec 14, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, WY. The record was last updated on Dec 14, 2009.