PHILLIP FUNDERBURK

EVERETT, WA
NPI1790142230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60691952)
Enumeration Date2016-01-27
Last Update Date2023-06-30
Business Address
Mr. PHILLIP FUNDERBURK SUDP
4301 HOYT AVE
EVERETT, WA 98203-2316
Phone number: 877-522-1275
Mailing Address
Mr. PHILLIP FUNDERBURK SUDP
1550 4TH AVE S
SEATTLE, WA 98134-1510
Phone number:
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