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Wayne Favreau, LPCC
Professional Counselor in Espanola, New Mexico
NPI 1730278854

Wayne Favreau is a Professional Counselor based in Albuquerque, NM and is specialized in Professional. Wayne Favreau practices in Espanola, NM and has the professional credentials of LPCC. The NPI Number for Wayne Favreau is 1730278854 and holds a License No. 0100411 (New Mexico).

The current practice location address for Wayne Favreau is 1302 Calle De La Merced, Espanola, NM and can be reached out via phone at 505-747-0081. You can also correspond with Wayne Favreau through the mailing address at 2551 COORS BLVD NW, ALBUQUERQUE, NM - 87120-1213 (mailing address contact number: 505-338-3320).

Location: 1302 Calle De La Merced, Espanola, NM, 87120-1213
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Provider Profile Details
NPI Number
1730278854
Provider Name
Wayne Favreau
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
1302 Calle De La Merced, Espanola, NM, 87120-1213
Phone Number
505-747-0081
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XXXXXXX 05 NM
institution
Provider Business Practice Location Address Details
Address
1302 Calle De La Merced
City
State
Zip
87532-2624
Phone Number
505-747-0081
Fax Number
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Provider Business Mailing Address Details
Address
1302 Calle De La Merced
City
State
Zip
87532-2624
Phone Number
505-747-0081
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0100411 (New Mexico)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0100411 (New Mexico)
Definition
Definition to come...
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