Forrest, Sally Jane
Forrest, Sally Jane is an sole proprietor health care provider with primary practice located at 5 S 14Th Ave , Yakima WA 98902-3101. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Forrest, Sally Jane can be contacted via phone (509) 317-0063.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH61000510 | Washington |
Profile Details
| NPI number | 1548705999 |
|---|---|
| LBN Legal business name | Forrest, Sally Jane |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2016 |
| Last updated | Oct 22nd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548705999 | NPPES |
| Washington | MEDICAID | 2091900 |
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