Doctor Name: | MS. JOAN B FOREST |
NPI Number: | 1912911082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | LMFT!10057 |
Business Practice Address: | 60 Pleasant Vw Cornville, AZ - 863255746 |
Business Phone Number: | 9286392785 |
Business Fax Number: | |
Mailing Address: | 60 Pleasant Vw, CORNVILLE |
State: | AZ |
Postal Code: | 863255746 |
Phone Number: | 9286392785 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LMFT!10057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |