Individual
AMY FAVRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
43 BROADWAY, SARANAC LAKE, NY 12983-1718
(518) 354-1713
(518) 354-8414
Mailing address
43 BROADWAY, SARANAC LAKE, NY 12983-1718
(518) 396-9141
(518) 354-8414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004481-1
NY
Other
Enumeration date
04/29/2016
Last updated
08/26/2019
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