Individual
SHANNON MARIE HALEY-FUNCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W 1ST ST STE B, ANKENY, IA 50023-1751
(515) 620-3192
Mailing address
2288 S AVE, JAMAICA, IA 50128-8805
(515) 370-0369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
124595
IA
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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