Individual provider · Type 1 NPI

Crystal Lynn Favre, LPC007028, GEORGIA

Counselor · Jasper, GA

NPI number 1619202041 Active

Practice location

2404 Refuge Rd
Jasper, GA 30143-4946

Fax (706) 693-0144

Mailing address

905 Rocky Ridge Pass
Canton, GA 30114-9751

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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.

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About NPI 1619202041

Crystal Lynn Favre, LPC007028, GEORGIA's National Provider Identifier is 1619202041, issued on Oct 2, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jasper, GA. The record was last updated on Jun 19, 2013.