Organization
LEE M. FAVER, PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE M FAVER PHD ABPP (PRESIDENT)
(603) 852-8238
Entity
Organization
Contact information
Practice address
5927 SE COLUMBIA WAY UNIT 203, VANCOUVER, WA 98661-6381
(603) 852-8238
Mailing address
5927 SE COLUMBIA WAY UNIT 203, VANCOUVER, WA 98661-6381
(603) 852-8238
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY 60285535
WA
Other
Enumeration date
08/01/2006
Last updated
09/24/2012
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