Provider Demographics
NPI:1568163624
Name:FUNCHES, KARLA MONIQUE (LPC)
Entity Type:Individual
Prefix:MS
First Name:KARLA
Middle Name:MONIQUE
Last Name:FUNCHES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:KARLA
Other - Middle Name:MONIQUE
Other - Last Name:FUNCHES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:KARLA M FUNCHES
Mailing Address - Street 1:11925 S HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1138
Mailing Address - Country:US
Mailing Address - Phone:708-608-9065
Mailing Address - Fax:708-361-3074
Practice Address - Street 1:11925 S HARLEM AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1138
Practice Address - Country:US
Practice Address - Phone:708-608-9065
Practice Address - Fax:708-361-3074
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178018508101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional