Individual
MARK FUNKHOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRSS;CHW
Contact information
Practice address
2029 CRADLE MOUNTAIN DR UNIT 2, RENO, NV 89523-2194
(812) 449-4343
Mailing address
2029 CRADLE MOUNTAIN DR UNIT 2, RENO, NV 89523-2194
(812) 449-4343
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PRSS-5038
NV
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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