Individual
MR. JONATHAN FORGIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.,T.L.L.P.
Contact information
Practice address
14733 S TELEGRAPH RD, MONROE, MI 48161-9545
(734) 243-8707
Mailing address
14733 S TELEGRAPH RD, MONROE, MI 48161-9545
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
L438946
MI
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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