person
Tom Favreau, QMHP,MA
Mental Health Counselor in Cottage Grove, Oregon
NPI 1306997481

Tom Favreau is a Mental Health Counselor based in Cottage Grove, OR and is specialized in Mental Health. Tom Favreau practices in Cottage Grove, OR and has the professional credentials of QMHP,MA. The NPI Number for Tom Favreau is 1306997481 and holds a License No. (Oregon).

The current practice location address for Tom Favreau is 410 N 9Th St, Cottage Grove, OR and can be reached out via phone at 541-942-2850 and via fax at 541-942-1574.

Location: 410 N 9Th St, Cottage Grove, OR, 97424-1307
person
Provider Profile Details
NPI Number
1306997481
Provider Name
Tom Favreau
Credential
QMHP,MA
Provider Entity Type
Individual
Gender
Male
Address
410 N 9Th St, Cottage Grove, OR, 97424-1307
Phone Number
541-942-2850
Fax Number
541-942-1574
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019047 05 OR
institution
Provider Business Practice Location Address Details
Address
410 N 9Th St
City
State
Zip
97424-1307
Phone Number
541-942-2850
Fax Number
541-942-1574
person
Provider Business Mailing Address Details
Address
410 N 9Th St
City
State
Zip
97424-1307
Phone Number
541-942-2850
Fax Number
541-942-1574
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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