Individual provider · Type 1 NPI

Jill C. Favata, M.S. ED, LPC

Counselor · Cheyenne, WY

NPI number 1972587319 Active

Practice location

2909 Bent Ave, The Healing Center
Cheyenne, WY 82001-2742

Call (307) 286-5279 Map

Mailing address

1213 Taft Ave, Apt. B
Cheyenne, WY 82001-6860

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X910 (WY)
Counselor Primary 101Y00000X910 (WY)

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 1972587319

Jill C. Favata, M.S. ED, LPC's National Provider Identifier is 1972587319, issued on Nov 30, 2005. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Cheyenne, WY. The record was last updated on Jun 30, 2009.