Individual
JACK FUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCLMHC
Contact information
Practice address
800 CATALPA AVE, TEANECK, NJ 07666-1828
(718) 432-6236
Mailing address
3640 JOHNSON AVE, BRONX, NY 10463-1617
(718) 432-6236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0004461
NY
101YP2500X
Professional Counselor
37PC00172400
NJ
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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