Individual
ELLENE FUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAADC, ATR, SCL
Contact information
Practice address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 858-7766
Mailing address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 858-7766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401011779
MI
101YP2500X
Professional Counselor
Primary
6401011779
MI
Other
Enumeration date
02/16/2010
Last updated
01/02/2014
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