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Individual
MR. TERRY ALAN FORREST
Active
Individual
MR. TERRY ALAN FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0410
OR
106H00000X
Marriage & Family Therapist
T0274
OR
Other
Enumeration date
08/05/2007
Last updated
01/10/2018
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