Wayne Favreau, LPCC
NPI #1730278854 in Espanola, New Mexico
Provider Information
- NPI Number
- 1730278854
- Entity Type
- Individual
- Name
- Wayne Favreau, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Oct 15, 2015
Practice Location
- Address
- 1302 CALLE DE LA MERCED
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2624
- Phone
- (505) 747-0081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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