Individual
AMANDA FAVRETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC, NCC, CCTP
Contact information
Practice address
109 W 27TH ST, SUITE 5S, NEW YORK, NY 10001
(631) 371-4081
Mailing address
143B BAYBERRY LN, FARMINGVILLE, NY 11738-2328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00323600
NJ
101YM0800X
Mental Health Counselor
006590-1
NY
Other
Enumeration date
10/17/2016
Last updated
03/18/2026
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