Individual provider · Type 1 NPI
Phillip Funderburk Jr., SUDP
Addiction (Substance Use Disorder) Counselor · Everett, WA
NPI number
1790142230
Active
Practice location
4301 Hoyt Ave
Everett, WA 98203-2316
Mailing address
1550 4th Ave S
Seattle, WA 98134-1510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP60691952 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1790142230
Phillip Funderburk Jr., SUDP's National Provider Identifier is 1790142230, issued on Jan 27, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Everett, WA. The record was last updated on Jun 30, 2023.