Individual
ELIZABETH FAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, M.S.
Contact information
Practice address
4840 ROSWELL RD STE 202, ATLANTA, GA 30342-2639
(813) 300-6525
Mailing address
4840 ROSWELL RD STE 202, ATLANTA, GA 30342-2639
(813) 300-6525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007935
GA
Other
Enumeration date
08/21/2013
Last updated
10/14/2021
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