Organization
LEE M. FAVER, PHD PLLC
Active
Organization
LEE M. FAVER, PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE MITCHELL FAVER PHD ABPP (LICENSED BOARD CERTIFIED PSYCHOLOGI)
(360) 524-3616
Entity
Organization
Contact information
Practice address
1220 MAIN ST STE 4, VANCOUVER, WA 98660-2953
(360) 524-3616
Mailing address
5927 SE COLUMBIA WAY UNIT 203, VANCOUVER, WA 98661-6381
(360) 524-3616
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY60285535
WA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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