Individual provider · Type 1 NPI

Tom Favreau, QMHP, MA

Mental Health Counselor · Cottage Grove, OR

NPI number 1306997481 Active

Practice location

410 N 9th St
Cottage Grove, OR 97424-1307

Call (541) 942-2850 Map

Fax (541) 942-1574

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306997481

Tom Favreau, QMHP, MA's National Provider Identifier is 1306997481, issued on Jan 15, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cottage Grove, OR. The record was last updated on Jul 9, 2007.