Individual
MRS. DONNA R FUNDERBURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3021 HARBOR LN N STE 206, PLYMOUTH, MN 55447-5120
(763) 559-1640
Mailing address
3021 HARBOR LN N STE 206, PLYMOUTH, MN 55447-5120
(763) 559-1640
(763) 559-1617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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