| Joanna G Forrest, Lpc, Llc | |
|
105 Danbury Rd Ridgefield CT 06877-4147 | |
| (203) 501-0822 | |
| Not Available |
| Full Name | Joanna G Forrest, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 105 Danbury Rd, Ridgefield, Connecticut |
| Authorized Official Name and Position | Joanna G Forrest (PSYCHOTHERAPIST/MGR.) |
| Authorized Official Contact | 2035010822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna G Forrest, Lpc, Llc 160 Pine Hill Rd New Fairfield CT 06812-2207 Ph: (203) 501-0822 | Joanna G Forrest, Lpc, Llc 105 Danbury Rd Ridgefield CT 06877-4147 Ph: (203) 501-0822 |
| NPI Number | 1336448604 |
|---|---|
| Provider Enumeration Date | 03/25/2011 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336448604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1417 (Connecticut) | Primary |
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