Individual
KRISTIN E FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
702 W ALTO RD, KOKOMO, IN 46902
(765) 453-7422
(765) 453-3773
Mailing address
702 W ALTO RD, KOKOMO, IN 46902
(765) 453-7422
(765) 453-3773
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34005996A
IN
Other
Enumeration date
03/27/2008
Last updated
02/12/2014
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