Funderburg, Jamarr J

Funderburg, Jamarr J is an sole proprietor health care provider with primary practice located at 1905 J N Pease Pl Ste 202 , Charlotte NC 28262-4539. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Funderburg, Jamarr J can be contacted via phone (704) 771-4633.

Contact Information

Primary practice address
1905 J N Pease Pl Ste 202 Charlotte NC 28262-4539
Phone: (704) 771-4633
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1184 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005599 North Carolina

Profile Details

NPI number 1871632430
LBN Legal business name Funderburg, Jamarr J
Credentials LCSW, LCAS, CCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Oct 24th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871632430 NPPES
North Carolina Other 1184 LCAS
North Carolina Other C005599 LCAS

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