Crystal Lynn Favre, LPC007028, GEORGIA

NPI #1619202041 in Jasper, Georgia

Provider Information

NPI Number: 1619202041
Entity Type: Individual
Name: Crystal Lynn Favre, LPC007028, GEORGIA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC007028, GEORGIA
Enumeration Date: Oct 2, 2009
Last Updated: Jun 19, 2013

Practice Location

Address: 2404 REFUGE RD
City: Jasper
State: Georgia
ZIP Code: 30143-4946
Phone: (706) 692-7209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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