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Search › Massachusetts › Addiction (Substance Use Disorder) Counselor

Mayo Funderburg, LADCA

NPI 1053612192 · on the registry since 2010 · sole proprietor

Practice

Address
20 Vesper Ln Unit L1
Nantucket, MA 02554
Phone
(508) 228-2689
Fax
(508) 228-3613
Organisation at this address
Fairwinds-Nantuckets Counseling Center
Fairwinds-Nantucket'S Counseling Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts