Ithaca Favor's National Provider Identifier (NPI) Details
Ithaca Favor, LPC
NPI: 1215561162
Enumeration Date: 2020-03-01
Last updated: 2023-10-16
Sole Proprietor: YES
Status: active
Postal Address: 882 PLANTATION WAY STE E, MONTGOMERY, AL
Phone: 334-604-3932
Primary Practice Address: 6617 CONCORD MEWS, MONTGOMERY, AL
Practice's phone: 334-604-3932