Individual
ASHLEY FAVREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
960 S MAIN ST, PLANTSVILLE, CT 06479-1645
(203) 610-4907
Mailing address
960 S MAIN ST, PLANTSVILLE, CT 06479-1645
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3022
CT
Other
Enumeration date
12/02/2016
Last updated
09/11/2018
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