Forrest, Joanna G

Forrest, Joanna G is an sole proprietor health care provider with primary practice located at 105 Danbury Rd Ste 203 , Ridgefield CT 06877-4147. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Forrest, Joanna G can be contacted via phone (203) 501-0822.

Contact Information

Primary practice address
105 Danbury Rd Ste 203 Ridgefield CT 06877-4147
Phone: (203) 501-0822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001417 Connecticut

Profile Details

NPI number 1811060585
LBN Legal business name Forrest, Joanna G
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Sep 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811060585 NPPES
Other 240001417CT01 ANTHEM BLUE CROSS BLUE SH
Other 358781 ANTHEM BLUE CROSS BLUE SH

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