Doctor Name: | MR. RYAN FORBES |
NPI Number: | 1134528318 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 4984 |
Business Practice Address: | 1302 Dean St Sulphur, LA - 706634916 |
Business Phone Number: | 3375320292 |
Business Fax Number: | |
Mailing Address: | 1302 Dean St, SULPHUR |
State: | LA |
Postal Code: | 706634916 |
Phone Number: | 3375320292 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2014 |
NPI Last Update Date: | 08/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4984 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |