Ryan Thomas Funk, LMSW, LMAC
Social Worker, Clinical in Lawrence, KS. Individual provider (NPI-1).
NPI number1962034017
StatusActive
Last updated in NPPESNov 10, 2023
Details
- NPI
- 1962034017
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Thomas Funk
- Credential
- LMSW, LMAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2020
- Certification date
- Nov 10, 2023
- Last updated
- Nov 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12871 | KS | Yes |
Practice location
2500 W 31st St Ste GLawrence, KS 66047-3051
Phone 913-747-5087
Mailing address
2500 W 31st St Ste GLawrence, KS 66047-3051
Phone 913-747-5087
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