Individual
BONNI RAE FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LPCC
Contact information
Practice address
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161-0234
(415) 424-4266
(415) 520-6633
Mailing address
8300 ESTERS BLVD STE 900, IRVING, TX 75063-2233
(415) 424-4266
(415) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH10028
FL
101YP2500X
Professional Counselor
Primary
1742
CA
Other
Enumeration date
10/27/2009
Last updated
10/31/2024
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