Funderburk, James A.
Funderburk, James A. is an sole proprietor health care provider with primary practice located at 1640 Powers Ferry Rd Se Building 9, Suite 100, Marietta GA 30067-5491. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Funderburk, James A. can be contacted via phone (770) 953-0080.Contact Information
Primary practice address
1640 Powers Ferry Rd Se Building 9, Suite 100
Marietta GA 30067-5491
Phone: (770) 953-0080
Fax: (770) 953-0031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | APC003619 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC008540 | Georgia |
Profile Details
| NPI number | 1841544939 |
|---|---|
| LBN Legal business name | Funderburk, James A. |
| Credentials | M.A., LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2012 |
| Last updated | Aug 11th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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