Individual
JULIE M FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
213 HENDERSON AVE, PASS CHRISTIAN, MS 39571-4309
(228) 300-8819
(601) 401-4289
Mailing address
213 HENDERSON AVE, PASS CHRISTIAN, MS 39571-4309
(228) 300-8819
(601) 401-4289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C7150
MS
1041C0700X
Clinical Social Worker
Primary
C7150
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018213
—
MS
Enumeration date
07/31/2008
Last updated
01/19/2021
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