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-- TRUDYLYNN BIRKEMEYER FUNK -- LCSW

Individual Provider (NPI-1) Active

Counselor, Addiction (Substance Use Disorder)

Provider Information

NPI Number
1649509084
Provider Type
Individual Provider (NPI-1)
Credentials
LCSW
Status
Active

Contact & Location

Address
610 W. BROADWAY SUITES SUITE L1, JACKSON, WY, 83001
Phone
(307) 733-3908
Fax
(307) 734-0017

Specialties & Taxonomies

Counselor, Addiction (Substance Use Disorder) Primary License: WY #384

All Addresses

MAILING

PO BOX 11390

JACKSON, WY, 830021390

(307) 733-3908

LOCATION

610 W. BROADWAY SUITES SUITE L1

JACKSON, WY, 83001

(307) 733-3908