RUSSELL OWEN FUNK

CHEHALIS, WA
NPI1467505636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: WA  LH00006320)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
RUSSELL OWEN FUNK M.S.
135 W MAIN ST
CHEHALIS, WA 98532-4817
Phone number: 360-748-6696
Mailing Address
RUSSELL OWEN FUNK M.S.
PO BOX 491
CASTLE ROCK, WA 98611-0491
Phone number: 360-274-4003
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