Provider Demographics
NPI:1851422927
Name:FUNEZ ARTEAGA, MICHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:FUNEZ ARTEAGA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1399 N HAMILTON PKWY
Mailing Address - Street 2:C/O NEW BEGINNINGS CENTER
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-8206
Mailing Address - Country:US
Mailing Address - Phone:415-350-4182
Mailing Address - Fax:
Practice Address - Street 1:1399 N HAMILTON PKWY
Practice Address - Street 2:C/O NEW BEGINNINGS CENTER
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94949-8206
Practice Address - Country:US
Practice Address - Phone:415-350-4182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA234521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical