Individual provider · Type 1 NPI

Shirell Favor

Mental Health Counselor · Latham, NY

NPI number 1730945379 Active

Practice location

3 Lear Jet Ln Ste 104N
Latham, NY 12110-2314

Fax (518) 662-4277

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X017225 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1730945379

Shirell Favor's National Provider Identifier is 1730945379, issued on Feb 22, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Latham, NY. The record was last updated on Jan 12, 2026.