Individual
HANNAH FUNDERBURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6010 SOUTHARD TRCE, CUMMING, GA 30040-6343
(770) 224-7008
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010037
GA
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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