Individual
JOHN FAVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 W MORENO AVE, COLORADO SPRINGS, CO 80905-1731
(719) 447-4736
Mailing address
875 W MORENO AVE, COLORADO SPRINGS, CO 80905-1731
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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