Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY LEE FORREST LCSW-C (PSYCHOTHERAPIST II)
(240) 620-1399
Entity
Organization
Contact information
Practice address
10500 SUMMIT AVENUE, KENSINGTON, MD 20895
(301) 897-2500
Mailing address
10500 SUMMIT AVENUE, KENSINGTON, MD 20895
(301) 897-2500
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
13240
MD
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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