Individual
MS. AVELIAH FUNDERBURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 AUSTIN ST, LEVELLAND, TX 79336-4320
(806) 894-5146
Mailing address
1304 AUSTIN ST, LEVELLAND, TX 79336-4320
(806) 894-5146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0183
TX
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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