Individual
MR. BRYAN ANDREW FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49501-0294
(616) 224-7578
(616) 224-7581
Mailing address
901 EASTERN AVE NE, P.O. BOX 294, GRAND RAPIDS, MI 49501-0294
(616) 224-7578
(616) 224-7581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000678A
IN
101YP2500X
Professional Counselor
Primary
6401010973
MI
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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