Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charzetta Funderburk

Individual provider Marriage & Family Therapist · NPI 1689517146

Charzetta Funderburk is a Marriage & Family Therapist in Lynwood, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

12627 Oak St
Lynwood, CA 90262-5019
Phone: (562) 206-4740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 112640 (CA)

Record details

NPI number1689517146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing addressPo Box 2566, Gardena, CA 90247-0566

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