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

Mr. Phillip Funderburk Jr., SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790142230

Mr. Phillip Funderburk Jr., SUDP is an Addiction (Substance Use Disorder) Counselor in Everett, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016

Practice location Address checks out

4301 Hoyt Ave
Everett, WA 98203-2316
Phone: (877) 522-1275
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP60691952 (WA)

Record details

NPI number1790142230
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDP
Sole proprietorNo
NPI enumeratedJanuary 27, 2016
Last updated in NPPESJune 30, 2023
Certification dateJune 20, 2023

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