Doctor Name: | LESLEE RENE FORRESTER |
NPI Number: | 1194051193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | C1723 |
Business Practice Address: | 38740 Proctor Blvd Sandy, OR - 970558030 |
Business Phone Number: | 5036685494 |
Business Fax Number: | 5036686368 |
Mailing Address: | 38740 Proctor Blvd, SANDY |
State: | OR |
Postal Code: | 970558030 |
Phone Number: | 5036685494 |
Fax Number: | 5036686368 |
NPI Enumeration Date: | 10/26/2009 |
NPI Last Update Date: | 02/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C1723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |