Vanessa Funk, Ma, Lpc, Pllc | |
2529 S Kelly Ave Ste C Edmond OK 73013-2976 | |
(405) 245-8257 | |
Not Available |
Full Name | Vanessa Funk, Ma, Lpc, Pllc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2529 S Kelly Ave Ste C, Edmond, Oklahoma |
Authorized Official Name and Position | Vanessa V Funk (OWNER) |
Authorized Official Contact | 4057196802 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vanessa Funk, Ma, Lpc, Pllc 2529 S Kelly Ave Ste C Edmond OK 73013-2976 Ph: (405) 245-8257 | Vanessa Funk, Ma, Lpc, Pllc 2529 S Kelly Ave Ste C Edmond OK 73013-2976 Ph: (405) 245-8257 |
NPI Number | 1275001463 |
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Provider Enumeration Date | 11/06/2018 |
Last Update Date | 11/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275001463 | NPI | - | NPPES |
1841519972 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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