Individual
ANITA M FUNKHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ILLINOIS ST STE 200, ST CHARLES, IL 60174-1867
(630) 277-9731
Mailing address
273 S MELROSE AVE, ELGIN, IL 60123-7255
(847) 624-1991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1180013538
IL
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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