Individual
MS. ANISSA ROSE FAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC-D
Contact information
Practice address
463 7TH AVE, 18TH FLOOR, NEW YORK, NY 10018
(719) 406-7292
Mailing address
463 7TH AVE, 18TH FLOOR, NEW YORK, NY 10018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015090
NY
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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