Individual
KATHRYN D FORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CADC
Contact information
Practice address
760 FOXPOINTE DR, SYCAMORE, IL 60178-3290
(815) 748-8334
Mailing address
PO BOX 1109, DEKALB, IL 60115-7109
(815) 756-4875
(815) 756-2944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474579189001
—
IL
Enumeration date
12/16/2022
Last updated
04/13/2026
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