Individual
JAMES A. FUNDERBURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC, NCC
Contact information
Practice address
1640 POWERS FERRY RD SE, BUILDING 9, SUITE 100, MARIETTA, GA 30067-5491
(770) 953-0080
(770) 953-0031
Mailing address
1640 POWERS FERRY RD SE, BUILDING 9, SUITE 100, MARIETTA, GA 30067-5491
(770) 953-0080
(770) 953-0031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC003619
GA
101YP2500X
Professional Counselor
Primary
LPC008540
GA
Other
Enumeration date
10/29/2012
Last updated
08/11/2015
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