Provider Demographics
NPI:1720282064
Name:SILVER-FAVORS, LORI N (MFT)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:N
Last Name:SILVER-FAVORS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:LORI
Other - Middle Name:S
Other - Last Name:FAVORS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:PO BOX 6080
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-0080
Mailing Address - Country:US
Mailing Address - Phone:510-655-0914
Mailing Address - Fax:
Practice Address - Street 1:1291 OAKLAND BLVD
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4359
Practice Address - Country:US
Practice Address - Phone:925-934-5824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFCC24131106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist