person
Jill C Favata, MSED,LPC
Counselor in Cheyenne, Wyoming
NPI 1972587319

Jill C Favata is a Counselor based in Cheyenne, WY. Jill C Favata practices in Cheyenne, WY and has the professional credentials of MSED,LPC. The NPI Number for Jill C Favata is 1972587319 and holds a License No. 910 (Wyoming).

The current practice location address for Jill C Favata is 2909 Bent Ave, Cheyenne, WY and can be reached out via phone at 307-286-5279.

Location: 2909 Bent Ave, Cheyenne, WY, 82001-6860
person
Provider Profile Details
NPI Number
1972587319
Provider Name
Jill C Favata
Credential
MSED,LPC
Provider Entity Type
Individual
Gender
Female
Address
2909 Bent Ave, Cheyenne, WY, 82001-6860
Phone Number
307-286-5279
Fax Number
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
312408 01 WY BS
institution
Provider Business Practice Location Address Details
Address
2909 Bent Ave
City
State
Zip
82001-2742
Phone Number
307-286-5279
Fax Number
person
Provider Business Mailing Address Details
Address
2909 Bent Ave
City
State
Zip
82001-2742
Phone Number
307-286-5279
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
910 (Wyoming)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
910 (Wyoming)
Definition
Definition to come...
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