| Tom Favreau, QMHP, MA | |
|
410 N 9th St, Cottage Grove, OR 97424-1307 | |
| (541) 942-2850 | |
| (541) 942-1574 |
| Full Name | Tom Favreau |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 410 N 9th St, Cottage Grove, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306997481 | NPI | - | NPPES |
| 019047 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Favreau, QMHP, MA 410 N 9th St, Cottage Grove, OR 97424-1307 Ph: (541) 942-2850 | Tom Favreau, QMHP, MA 410 N 9th St, Cottage Grove, OR 97424-1307 Ph: (541) 942-2850 |
Therese N Mastin, M.A., QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 Fax: 541-942-9310 | |
Sonja Therese Towner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 N 6th St, Cottage Grove, OR 97424 Phone: 541-942-3939 | |
Brianna Elaine Dunn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 | |
Tessa Hart, MED, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 | |
Susan Grzesiak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 Fax: 541-942-9310 | |
Robert H Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 Fax: 541-942-9310 | |
Mrs. Sarah Marie Baker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 |