Search › New Mexico › 101YP2500X
Wayne Favreau, LPCC
NPI 1730278854 · on the registry since 2006
Practice
- Address
- 1302 Calle De La Merced
Espanola, NM 87532 - Phone
- (505) 747-0081
- Clinicians at this address
- 47
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico