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Organization
VANESSA FUNK, MA, LPC, PLLC
Active
Organization
VANESSA FUNK, MA, LPC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA V FUNK MA, LPC (OWNER)
(405) 719-6802
Entity
Organization
Contact information
Practice address
2529 S KELLY AVE STE C, EDMOND, OK 73013-2976
(405) 245-8257
Mailing address
2529 S KELLY AVE STE C, EDMOND, OK 73013-2976
(405) 245-8257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841519972
—
OK
Enumeration date
11/06/2018
Last updated
11/06/2018
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