Funk, Mariah Jacqueline

Funk, Mariah Jacqueline is an individual health care provider with primary practice located at 900 E Main St Ste 201 , Grass Valley CA 95945-5853. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Funk, Mariah Jacqueline can be contacted via phone (530) 273-2244.

Contact Information

Primary practice address
900 E Main St Ste 201 Grass Valley CA 95945-5853
Phone: (530) 273-2244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1073271250
LBN Legal business name Funk, Mariah Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2021
Last updated Jun 3rd, 2024 - about 5 months 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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