Individual
MRS. TANIKA D FORESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1149 E CENTER RD, KOKOMO, IN 46902-5369
(765) 631-3366
Mailing address
708 CARTER CT, KOKOMO, IN 46901-7026
(765) 631-3366
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001791A
IN
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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