Individual
MR. DAVID L. FAVREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LADC I
Contact information
Practice address
33 KEARNEY SQUARE, ANGER MANAGEMENT PROGRAM, LOWELL, MA 01852-1901
(978) 957-5811
(978) 957-5811
Mailing address
PO BOX 8895, LOWELL, MA 01853-8895
(978) 957-5811
(978) 957-5811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
83
MA
Other
Enumeration date
01/08/2009
Last updated
10/07/2015
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