Individual
MS. DOREEN KELLY FORBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6209 E MAIN ST, MARYVILLE, IL 62062-2015
(618) 960-4174
Mailing address
6209 E MAIN ST, MARYVILLE, IL 62062-2015
(618) 960-4174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.001719
IL
Other
Enumeration date
08/06/2009
Last updated
08/18/2023
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