Russell Owen Funk, M.S.
NPI #1467505636 in Chehalis, Washington
Provider Information
- NPI Number
- 1467505636
- Entity Type
- Individual
- Name
- Russell Owen Funk, M.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.S.
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 135 W MAIN ST
- City
- Chehalis
- State
- Washington
- ZIP Code
- 98532-4817
- Phone
- (360) 748-6696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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