Individual
SAMANTHA FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1217 WATER ST, KETCHIKAN, AK 99901-6150
(907) 617-0821
Mailing address
1217 WATER ST, KETCHIKAN, AK 99901-6150
(907) 617-0821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
107794
AK
Other
Enumeration date
09/14/2017
Last updated
07/30/2024
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