Tom Favreau, QMHP, MA is a mental health counselor in Cottage Grove, OR. Tom Favreau, QMHP, MA NPI is 1306997481. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
410 N 9TH ST
COTTAGE GROVE, OR
ZIP 97424-307
Phone: (541) 942-2850
Fax: (541) 942-1574
The enumeration date for this NPI number is 1/15/2007 and was last updated on 7/9/2007.