Individual
ANGILENE NICHOLE FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3700 MOORE RD, CERES, CA 95307-6735
(209) 735-2244
Mailing address
3700 MOORE RD, CERES, CA 95307-6735
(209) 735-2244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9255
CA
101YP2500X
Professional Counselor
21568
CA
106H00000X
Marriage & Family Therapist
Primary
157613
CA
Other
Enumeration date
03/15/2019
Last updated
01/05/2026
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