Jill C Favata is a Counselor in Cheyenne, . Jill C Favata practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jill C Favata is 1972587319. The last update date is 2009-06-30.
Jill C Favata's current location address is 1213 Taft Ave, Cheyenne, . You can contact this provider via phone number 3072865279. The mailing address for Jill C Favata is 1213 Taft Ave, Cheyenne, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill C Favata |
|---|---|
| Address | 1213 Taft Ave, Cheyenne, |
| Phone Number | 3072865279 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S. ED, L |
NPI Number Detail
| NPI Number | 1972587319 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2009-06-30 |
Provider Mailing Address Detail
| Address | 1213 Taft Ave |
|---|---|
| City | Cheyenne |
| State | (WY) |
| Post Code | 820016860 |
| Phone Number | 3072865279 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 910 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 312408 | WY | BS |
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What is the unique 10-digit identification code issued to Jill C Favata by the Centers for Medicare & Medicaid Services?
The Jill C Favata has been assigned the NPI (National Provider Identifier) 1972587319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jill C Favata is geographically located?
The Jill C Favata is physically situated at the following location: 1213 Taft Ave, Cheyenne, WY, 820016860.
What is Jill C Favata's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jill C Favata is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
When was the Jill C Favata's 1972587319 issued?
The Jill C Favata's 1972587319 was issued on 2005-11-30.
As of what date were the details pertaining to Jill C Favata last refreshed?
The information related to the Jill C Favata, including its address, specialty, and other relevant details, was last updated on 2009-06-30.