Individual
JOHN E FUNDANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
316 STATION ST, BRIDGEVILLE, PA 15017-1833
(412) 221-1091
Mailing address
316 STATION ST, BRIDGEVILLE, PA 15017-1833
(412) 221-1091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW002488E
PA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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