Doctor Name: | MS. DENISE FOREST |
NPI Number: | 1457776312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT INTERN #70777 |
License Number: | |
Business Practice Address: | 1931 Center St Berkeley, CA - 94704 |
Business Phone Number: | 5106669552 |
Business Fax Number: | 5106660987 |
Mailing Address: | 1700 Shattuck Ave, Ste 214 BERKELEY |
State: | CA |
Postal Code: | 94709 |
Phone Number: | 4154885802 |
Fax Number: | 5106660987 |
NPI Enumeration Date: | 02/28/2014 |
NPI Last Update Date: | 06/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |