Funderburk, Kathleen Dixon

Funderburk, Kathleen Dixon is an sole proprietor health care provider with primary practice located at 432 Hacker St , New Iberia LA 70560-4564. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Funderburk, Kathleen Dixon can be contacted via phone (337) 303-3777.

Contact Information

Primary practice address
432 Hacker St New Iberia LA 70560-4564
Phone: (337) 303-3777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 977 Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 88572 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 2680 Louisiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 704 Louisiana

Profile Details

NPI number 1356608590
LBN Legal business name Funderburk, Kathleen Dixon
Credentials LPC, LMFT, LAC, BAS,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2012
Last updated Apr 12th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356608590 NPPES
Louisiana Other 704 LICENSED MARRIAGE AND FAMILY THERAPIST
Louisiana Other 88572 LICENSED MARRIAGE AND FAMILY THERAPIST
Louisiana Other 977 LICENSED MARRIAGE AND FAMILY THERAPIST
Louisiana Other S2680 LICENSED MARRIAGE AND FAMILY THERAPIST
Louisiana Other 2680 LICENSED MARRIAGE AND FAMILY THERAPIST

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