Individual
KRISTIN FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.C.S.W.
Contact information
Practice address
261 E 16TH AVE, SUITE 2, EUGENE, OR 97401-4105
(541) 579-1031
Mailing address
261 E 16TH AVE, SUITE 2, EUGENE, OR 97401-4105
(541) 579-1031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4350
OR
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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