Organization
FOREST CITY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN M SELANDER LCSW (LCSW)
(815) 520-6972
Entity
Organization
Contact information
Practice address
6735 VISTAGREEN WAY STE 210, ROCKFORD, IL 61107-5654
(815) 391-3055
(815) 904-6419
Mailing address
6735 VISTAGREEN WAY STE 210, ROCKFORD, IL 61107-5654
(815) 391-3055
(815) 904-6419
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
07/21/2019
Last updated
04/20/2023
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