Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Lynn Favre, LPC007028, GEORGIA

Individual provider Counselor · NPI 1619202041

Crystal Lynn Favre, LPC007028, GEORGIA is a Mental Health Counselor in Jasper, Georgia. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
25
In the registry since
2009

Practice location Address checks out

2404 Refuge Rd
Jasper, GA 30143-4946
Phone: (706) 692-7209
Fax: (706) 693-0144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1619202041
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC007028 , GEORGIA
Sole proprietorYes
NPI enumeratedOctober 2, 2009
Last updated in NPPESJune 19, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jasper