| Kyoko Funabashi, | |
|
550 Nikanor Rd, West Jefferson, NC 28694-7263 | |
| (602) 692-8548 | |
| Not Available |
| Full Name | Kyoko Funabashi |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 550 Nikanor Rd, West Jefferson, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548934524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A16823 (North Carolina) | Primary |
| Entity Name | Upward Call Counseling Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598409997 PECOS PAC ID: 7517306814 Enrollment ID: O20240419000956 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyoko Funabashi, 550 Nikanor Rd, West Jefferson, NC 28694-7263 Ph: (602) 692-8548 | Kyoko Funabashi, 550 Nikanor Rd, West Jefferson, NC 28694-7263 Ph: (602) 692-8548 |
Courtney Hartzog, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2276 Nc Highway 163, West Jefferson, NC 28694 Phone: 336-977-3499 | |
Lisa Factor, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 E Ashe St Ste D, West Jefferson, NC 28694 Phone: 336-902-3888 | |
Mary Elizabeth Pierce, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 Mount Paddy Rd, West Jefferson, NC 28694 Phone: 336-620-6179 Fax: 336-219-0110 |