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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