JACOB FUNDERBURK, PLPC

Counselor - Professional

Active Individual
NPI: 1639749617

Practice Address

6240 GREENWOOD RD
Shreveport, LA 71119

Phone: (318) 562-6320

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 8671 (LA)

Frequently Asked Questions

NPI 1639749617 is the National Provider Identifier for JACOB FUNDERBURK, PLPC, a Counselor - Professional provider located in Shreveport, LA. This NPI was enumerated on June 30, 2021.
JACOB FUNDERBURK, PLPC practices at 6240 GREENWOOD RD, Shreveport, LA 71119.

Quick Facts

NPI
1639749617
Type
Individual
Enumerated
Jun 30, 2021
Last Updated
Nov 6, 2024

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