Individual
CATARINA FUNCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 DOUGLAS DR STE 140, MARTINEZ, CA 94553-4078
(925) 839-3447
Mailing address
10 DOUGLAS DR STE 140, MARTINEZ, CA 94553-4078
(925) 839-3447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-RMONXD
CA
175T00000X
Peer Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
02/28/2023
Last updated
04/29/2025
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